Organization Active NPI

Mahant Pharmacy LLC

  • Community/Retail Pharmacy
  • East Windsor, NJ
National Provider Identifier
1720586746
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00760700 Issued in NJ
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

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Harshav RavalNPI 1497477020
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2176035OtherPK
0614157MedicaidNJ

Other names 2

  • Blue Swan Pharmacy - East Windsor Doing business as
  • Ivira Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200624000128 NJ Part B Supplier - Pharmacy 4880940584 Practice locations: East Windsor, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.