Active NPI
Sanford Community Pharmacy LLC
- Pharmacy
- Newark, NJ
National Provider Identifier
1629501192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00624800
- Legal business name
- SANFORD COMMUNITY PHARMACY LLC
- Practice address
- 1041 S Orange Ave
Newark, NJ 07106-1716 - Phone
- (973) 351-0099
- Fax
- (973) 351-9505
- NPI assigned
- Apr 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paresh T Gandhi, B.PHARM
- Title
- Owner
- Phone
- (646) 417-3844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 28RS00624800 | NJ | Primary |
Addresses
Primary practice location
1041 S Orange Ave
Newark, NJ 07106-1716
Mailing address
1041 S Orange Ave
Newark, NJ 07106-1716
Phone (973) 351-0099
Other names 1
- sanford pharmacy
National Provider Directory
National Provider DirectoryLocations
1041 S Orange Ave
Newark, NJ 07106
Phone (973) 351-0099
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bloomfield, NJ
- NPI 1346712254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491868800000",
"number": "1629501192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 S ORANGE AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071061716",
"telephone_number": "973-351-0099",
"fax_number": "973-351-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 S ORANGE AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071061716",
"telephone_number": "973-351-0099",
"fax_number": "973-351-9505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANFORD COMMUNITY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-11",
"last_updated": "2017-04-11",
"status": "A",
"authorized_official_last_name": "GANDHI",
"authorized_official_first_name": "PARESH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-417-3844",
"authorized_official_credential": "B.PHARM"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RS00624800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "sanford pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.