Organization Active NPI

West Milford Drugs Inc

  • Community/Retail Pharmacy
  • West Milford, NJ
National Provider Identifier
1730104241
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00681500 Issued in NJ
Legal business name
WEST MILFORD DRUGS INC
Practice address
1495 Union Valley Rd
West Milford, NJ 07480-1361
Phone
(973) 728-1400
Fax
(973) 728-0756
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
Piyush K Patel, RPH
Title
Pic/Owner
Phone
(973) 728-1400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00681500 NJ Primary

Addresses

Primary practice location

1495 Union Valley Rd
West Milford, NJ 07480-1361

Mailing address

1495 Union Valley Rd
West Milford, NJ 07480
Phone (973) 728-1400

Other identifiers 2

IdentifierTypeStateIssuer
0184004MedicaidNJ
2054114OtherPK

Other names 1

  • WEST MILFORD PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090812000610 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4284788142 Practice locations: West Milford, NJ
O20240426002120 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7315387123 Practice locations: West Milford, NJ
O20250205002290 NJ DME Supplier - Pharmacy 7315387123 Practice locations: West Milford, NJ

National Provider Directory

National Provider Directory
Tax ID family
West Milford Drugs Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1730104241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 UNION VALLEY RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "07480",
            "telephone_number": "973-728-1400",
            "fax_number": "973-728-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 UNION VALLEY RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801361",
            "telephone_number": "973-728-1400",
            "fax_number": "973-728-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MILFORD DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "973-728-1400",
        "authorized_official_credential": "RPH"
    },
    "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": "28RS00681500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054114",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST MILFORD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.