Organization Active NPI

U-Pharm Inc

  • Community/Retail Pharmacy
  • Clifton, NJ
National Provider Identifier
1568573376
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00365300 Issued in NJ
Legal business name
U-PHARM INC
Practice address
828 Clifton Ave
Clifton, NJ 07013-1816
Phone
(973) 473-4000
Fax
(973) 473-4002
NPI assigned
Aug 31, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Walter Voinov, R.PH.NPI 1487756128
Title
President Pharmacist-in-Charge
Phone
(973) 473-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00365300 NJ Primary

Addresses

Primary practice location

828 Clifton Ave
Clifton, NJ 07013-1816

Mailing address

828 Clifton Ave
Clifton, NJ 07013-1816
Phone (973) 473-4000

Other identifiers 2

IdentifierTypeStateIssuer
4362101MedicaidNJ
3126807OtherNABP #

Other names 1

  • colonial pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930071664 NJ DME Supplier - Pharmacy 7113045105 Practice locations: Clifton, NJ
O20181107001318 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7113045105 Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory
Tax ID family
Colonial Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

828 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-4000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1568573376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131816",
            "telephone_number": "973-473-4000",
            "fax_number": "973-473-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131816",
            "telephone_number": "973-473-4000",
            "fax_number": "973-473-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U-PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "VOINOV",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "973-473-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00365300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4362101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "3126807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "colonial pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.