Active NPI
Mahant Pharmacy LLC
- Community/Retail Pharmacy
- East Windsor, NJ
National Provider Identifier
1720586746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00760700
- Legal business name
- MAHANT PHARMACY LLC
- Doing business as
- Blue Swan Pharmacy - East Windsor
Ivira Pharmacy - Practice address
- 104 Hickory Corner Rd Ste 106
East Windsor, NJ 08520-2460 - Phone
- (609) 308-2887
- Fax
- (609) 308-2896
- NPI assigned
- Jan 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harshav Raval
- Title
- Pic
- Phone
- (609) 308-2887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00760700 | NJ | Primary |
Addresses
Primary practice location
104 Hickory Corner Rd Ste 106
East Windsor, NJ 08520-2460
Mailing address
104 Hickory Corner Rd Ste 106
East Windsor, NJ 08520-2460
Phone (609) 308-2887
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176035 | Other | PK | |
| 0614157 | Medicaid | NJ |
Other names 2
- Blue Swan Pharmacy - East Windsor
- Ivira Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200624000128 | NJ | Part B Supplier - Pharmacy | 4880940584 | Practice locations: East Windsor, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- East Windsor, NJ
- NPI 1497477020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1720586746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HICKORY CORNER RD STE 106",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085202460",
"telephone_number": "609-308-2887",
"fax_number": "609-308-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HICKORY CORNER RD STE 106",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085202460",
"telephone_number": "609-308-2887",
"fax_number": "609-308-2896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHANT PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-24",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "RAVAL",
"authorized_official_first_name": "HARSHAV",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "609-308-2887"
},
"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": "28RS00760700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2176035",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0614157",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Swan Pharmacy - East Windsor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ivira Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.