Padawan Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PADAWAN PHARMA INC

Practice address

1049 Broad St
Bloomfield, NJ 07003

Phone

(973) 338-7300

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Lawrence SalvadorNPI 1801060587

Title

Owner

Phone

(973) 338-7300

Specialties & licenses 1

Addresses

Other names 1

• Terry Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Lawrence Salvador, RPH

  • Pharmacist
  • Bloomfield, NJ
  • NPI 1801060587
  NPD Authorized official
• Evgueni Kovaltchouk, PHARMD

  • Pharmacist
  • Bloomfield, NJ
  • NPI 1265781405
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1720143936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032845",
            "telephone_number": "973-338-7300",
            "fax_number": "973-338-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-338-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADAWAN PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "SALVADOR",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-338-7300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orthopedic Specialist Group
• Stella Osemwegie, PHD, LPC, ACS
• Outpatient Management Physician Services Essex LLC
• Alexis Owino
• Brandon Emilio Ozbalik, DC
• Jossie Padilla
• Karissa Padilla, DNP
• Melissa Pagan, LMFT
• Chirag Paghdal, PHARMD
• Kathleen Palatucci, MA CCC SLP

• Community/Retail Pharmacy in Bloomfield, NJ
• Providers in Bloomfield, 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 24, 2026; 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.