Southwood Pharmacy,Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00631400 Issued in NJ

Legal business name

SOUTHWOOD PHARMACY,INC.

Practice address

15 Route 516
Old Bridge, NJ 08857-1402

Phone

(732) 254-7800

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rakesh Rajgandhi, R.P.

Title

RP in Charge

Phone

(732) 254-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Old Bridge RX LLC2 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.

• Old Bridge RX, LLC

  • Specialty Pharmacy
  • Old Bridge, NJ
  • NPI 1194453993
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hemil Nitin Khandwala, PHARMD

  • Pharmacist
  • Old Bridge, NJ
  • NPI 1396069480
  NPD

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598744245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571402",
            "telephone_number": "732-254-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571402",
            "telephone_number": "732-254-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOOD PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAJGANDHI",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "RP IN CHARGE",
        "authorized_official_telephone_number": "732-254-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00631400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036978",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haodong Song, M.D.
• Momodou Lamin Sonko, MD, MBA
• Justin A Soto, PTA
• Cara Christie Sottile, CRNP
• Southwood Pharmacy, Inc.
• Justin Spader
• Speech Services, LLC
• Morgan Spencer
• Nicole Sperber, LCSW
• Lauren Nicole Spiegel, LPC

• Pharmacy in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.