Pharmarx

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00745200 Issued in NJ

Legal business name

PHARMARX

Doing business as

Renaissance Pharmacy

Practice address

275 Hobart St
Perth Amboy, NJ 08861-3396

Phone

(732) 979-2410

Fax

(732) 979-2415

NPI assigned

Nov 13, 2015

Organization subpart

No

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

Authorized official

Name

Hemil Khandwala

Title

General Manager

Phone

(732) 979-2410

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Renaissance Pharmacy Doing business as

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1689047615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HOBART ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613396",
            "telephone_number": "732-979-2410",
            "fax_number": "732-979-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOBART ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613396",
            "telephone_number": "732-979-2410",
            "fax_number": "732-979-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMARX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "KHANDWALA",
        "authorized_official_first_name": "HEMIL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "732-979-2410"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00745200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perth Amboy Health Care L.L.C.
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• Perth Amboy Physical Therapy and Wellness
• Perth Amboy Public Schools
• Perth Amboy Spine and Joint Care
• Physical Therapy Center of Perth Amboy
• Diana Pichardo, DNP
• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
• Bernardo A Poco, MD
• Blanca R Podinker, RN

• Community/Retail Pharmacy in Perth Amboy, NJ
• Providers in Perth Amboy, 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 Oct 24, 2016; 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.