Active NPI
Carteret Pharmacy LLC
- Pharmacy
- Carteret, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00710700
- Legal business name
- CARTERET PHARMACY LLC
- Practice address
- 29 Washington Ave
Unit 110
Carteret, NJ 07008-2621 - Phone
- (732) 541-5411
- Fax
- (732) 541-5414
- NPI assigned
- Jan 30, 2011
- 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
- Darshan Patel
- Title
- Pharmacist in Charge
- Phone
- (732) 541-5411
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 28RS00710700 | NJ | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
29 Washington Ave
Unit 110
Carteret, NJ 07008-2621
Mailing address
29 Washington Ave
Unit 110
Carteret, NJ 07008-2621
Phone (732) 541-5411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0404951 | Medicaid | NJ | |
| 2129319 | Other | PK |
Other names 1
- CARTERET PHARMACY & SURGICALS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110614000058 | NJ | DME Supplier - Pharmacy | 1254518582 | Practice locations: Carteret, NJ |
| O20111012000388 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254518582 | Practice locations: Carteret, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Carteret Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Carteret, NJ
- NPI 1457210700
Locations
58 Washington Ave
Carteret, NJ 07008
Phone (732) 541-5411
29 Washington Ave
Apt 110
Carteret, NJ 07008
Phone (732) 541-5411
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Carteret, NJ
- NPI 1457210700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Carteret, NJ
- NPI 1376842302
-
- Pharmacist
- Perth Amboy, NJ
- NPI 1427719319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629849600000",
"number": "1669778205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 WASHINGTON AVE",
"address_2": "UNIT 110",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070082621",
"telephone_number": "732-541-5411",
"fax_number": "732-541-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 WASHINGTON AVE",
"address_2": "UNIT 110",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070082621",
"telephone_number": "732-541-5411",
"fax_number": "732-541-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTERET PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-30",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DARSHAN",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "732-541-5411"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RS00710700",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0404951",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2129319",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CARTERET PHARMACY & SURGICALS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CARTERET PHARMACY & SURGICALS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carteret, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.