Hanuman RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HANUMAN RX INC

Doing business as

Rahway Pharmacy

Practice address

1421 Irving St
Rahway, NJ 07065-4005

Phone

(732) 827-7908

Fax

(848) 666-7495

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anil Kumar Bodempudi

Title

Vice President

Phone

(347) 751-4413

Specialties & licenses 1

Addresses

Other names 1

• RAHWAY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1679212211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 IRVING ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654005",
            "telephone_number": "732-827-7908",
            "fax_number": "848-666-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 IRVING ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654005",
            "telephone_number": "732-827-7908",
            "fax_number": "848-666-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANUMAN RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "BODEMPUDI",
        "authorized_official_first_name": "ANIL KUMAR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "347-751-4413",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAHWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Andrew Gredzik, OD
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• Community/Retail Pharmacy in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.