Organization Active NPI

Drug Stores One LLC

Doing business as The Drug Store

  • Community/Retail Pharmacy
  • Fair Lawn, NJ
National Provider Identifier
1639488422
Registry record updated Aug 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P05530 Issued in MD
Legal business name
DRUG STORES ONE LLC
Doing business as
The Drug Store
Practice address
22-18 Broadway
Suite # 5
Fair Lawn, NJ 07410-3016
Phone
(201) 773-6666
Fax
(201) 773-6667
NPI assigned
Sep 28, 2010
Last updated
Aug 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2012

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

Authorized official

Name
Piushbhai PatelNPI 1497893358
Title
President
Phone
(201) 773-6666

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X P05530 MD Primary
Mail Order Pharmacy 3336M0002X NU
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X 28RS00707700 NJ

Addresses

Primary practice location

22-18 Broadway
Suite # 5
Fair Lawn, NJ 07410-3016

Mailing address

22-18 Broadway
Suite #5
Fair Lawn, NJ 07410-3016
Phone (201) 773-6666

Other names 1

  • The Drug Store Doing business as

National Provider Directory

National Provider Directory

Locations

22-18 Broadway
#5
Fair Lawn, NJ 07410
Phone (201) 773-6666

22-18 Broadway
Ste 5
Fair Lawn, NJ 07410
Phone (201) 773-6666

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": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345852800000",
    "number": "1639488422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE #5",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-773-6666",
            "fax_number": "201-773-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE # 5",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-773-6666",
            "fax_number": "201-773-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG STORES ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2012-08-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PIUSHBHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-773-6666"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05530",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RS00707700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2012; 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.