Highland Park Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00670000 Issued in NJ

Legal business name

HIGHLAND PARK PHARMACY CORP

Practice address

325 Raritan Ave
Highland Park, NJ 08904-2700

Phone

(732) 545-0687

Fax

(732) 545-1156

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Vijay Maktal, B.S. PHARMNPI 1215973854

Title

RPH-in-Charge

Phone

(732) 545-0687

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SAIFF DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijay Torio Maktal, R.PH.

  • Pharmacist
  • Highland Park, NJ
  • NPI 1215973854
  NPD Authorized official
• Howard Mischne

  • Pharmacist
  • Highland Park, NJ
  • NPI 1447304571
  NPD (past)
• Stacey Mullen, PHARMD, RPH

  • Pharmacist
  • Highland Park, NJ
  • NPI 1831322346
  NPD (past)
• Marianne Polunas

  • Pharmacist
  • Highland Park, NJ
  • NPI 1326193178
  NPD (past)
• Ivan Saiff, RPH

  • Pharmacist
  • Highland Park, NJ
  • NPI 1063539344
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1720024193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4274",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-545-0687",
            "fax_number": "732-545-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042700",
            "telephone_number": "732-545-0687",
            "fax_number": "732-545-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "MAKTAL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "RPH-IN-CHARGE",
        "authorized_official_telephone_number": "732-545-0687",
        "authorized_official_credential": "B.S. PHARM"
    },
    "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": "28RS00670000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054134",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149519",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAIFF DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helix Wellness and Therapy
• Rochelle Henner, MD
• Sol Herzig, PH.D.
• Highland Park Family Practice, LLC
• Highland Park Pediatrics
• Highland Park School District
• Home Care With Lovve, Inc.
• HP Pediatric Dentistry LLC
• Maureen Joyce Hudak, PSY.D.
• Ellen M. Hulme, ED.D.

• Community/Retail Pharmacy in Highland Park, NJ
• Providers in Highland Park, 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 Jan 29, 2014; 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.