Easy Pharmacy at SBB LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

TBD Issued in NJ

Legal business name

EASY PHARMACY AT SBB LLC

Doing business as

Easy Pharmacy & Surgicals

Practice address

34 Main St
South Bound Brook, NJ 08880-1466

Phone

(732) 667-7007

Fax

(732) 667-7017

NPI assigned

Mar 24, 2009

Last updated

Apr 3, 2014By 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. Kiran A Parvatrao, R.PH.

Title

Pres & Ceo

Phone

(732) 667-7007

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• EASY PHARMACY & SURGICALS Doing business as

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1689815508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAIN ST",
            "city": "SOUTH BOUND BROOK",
            "state": "NJ",
            "postal_code": "088801466",
            "telephone_number": "732-667-7007",
            "fax_number": "732-667-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAIN ST",
            "city": "SOUTH BOUND BROOK",
            "state": "NJ",
            "postal_code": "088801466",
            "telephone_number": "732-667-7007",
            "fax_number": "732-667-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY PHARMACY AT SBB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "PARVATRAO",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES & CEO",
        "authorized_official_telephone_number": "732-667-7007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "TBD",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "TBD",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "TBD",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "TBD",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217395",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASY PHARMACY & SURGICALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in South Bound Brook, NJ
• Providers in South Bound Brook, 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 Apr 3, 2014; 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.