Provision Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00744000 Issued in NJ

Legal business name

PROVISION PHARMACY INC

Practice address

30 W Main St
Freehold, NJ 07728-2210

Phone

(732) 333-0226

Fax

(732) 333-0291

NPI assigned

Sep 19, 2015

Last updated

Sep 19, 2015By 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

Hemal MakadiaNPI 1437529468

Title

Pharmacist in Charge

Phone

(732) 333-0226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hemal Makadia

  • Pharmacist
  • Freehold, NJ
  • NPI 1437529468
  NPD Authorized official
• Bishoy Awad, PHARMD

  • Pharmacist
  • Freehold, NJ
  • NPI 1972260586
  NPD (past)
• Prit K Patel

  • Pharmacist
  • Freehold, NJ
  • NPI 1821687583
  NPD (past)

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442620800000",
    "number": "1700255791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282210",
            "telephone_number": "732-333-0226",
            "fax_number": "732-333-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282210",
            "telephone_number": "732-333-0226",
            "fax_number": "732-333-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-19",
        "last_updated": "2015-09-19",
        "status": "A",
        "authorized_official_last_name": "MAKADIA",
        "authorized_official_first_name": "HEMAL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "732-333-0226"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00744000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Freehold, NJ
• Providers in Freehold, 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 Sep 19, 2015; 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.