Organization Active NPI

Redema Ventures LLC

Doing business as Medplus Drugs & Surgicals

  • Community/Retail Pharmacy
  • Medford, NJ
National Provider Identifier
1699253278
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00766100 Issued in NJ
Legal business name
REDEMA VENTURES LLC
Doing business as
Medplus Drugs & Surgicals
Practice address
103 Old Marlton Pike Ste 123
Medford, NJ 08055-8772
Phone
(609) 654-6555
NPI assigned
Aug 5, 2018
Last updated
Feb 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Ankit Mehta
Title
Pharmacist in Charge
Phone
(609) 654-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00766100 NJ Primary

Addresses

Primary practice location

103 Old Marlton Pike Ste 123
Medford, NJ 08055-8772

Mailing address

3 Redbud Rd
Piscataway, NJ 08854-5926

Other practice location 1

103 Old Marlton Pike Ste Medford
Medford, NJ 08055-8772
Phone (609) 654-6555

Other names 1

  • MEDPLUS DRUGS & 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
O20180925002517 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4688925910 Practice locations: Medford, NJ
O20190220001460 NJ DME Supplier - Pharmacy 4688925910 Practice locations: Medford, NJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1699253278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 REDBUD RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE STE 123",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558772",
            "telephone_number": "609-654-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Old Marlton Pike Ste Medford",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080558772",
            "country_code": "US",
            "telephone_number": "609-654-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDEMA VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-05",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ANKIT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "609-654-6555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00766100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDPLUS DRUGS & SURGICALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.