Organization Active NPI

Sanford Community Pharmacy LLC

  • Pharmacy
  • Newark, NJ
National Provider Identifier
1629501192
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00624800 Issued in NJ
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

Updated by the provider on Apr 11, 2017

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.