Organization Active NPI

Carteret Pharmacy LLC

  • Pharmacy
  • Carteret, NJ
National Provider Identifier
1669778205
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00710700 Issued in NJ
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

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Darshan PatelNPI 1376842302
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0404951MedicaidNJ
2129319OtherPK

Other names 1

  • CARTERET PHARMACY & SURGICALS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 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.

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.