Organization Active NPI

Manchester Pharmacy Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Hazlet, NJ
National Provider Identifier
1730215138
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MANCHESTER PHARMACY INC
Doing business as
Medicine Shoppe
Practice address
3253 State Route 35
Hazlet, NJ 07730-1544
Phone
(732) 888-7900
Fax
(732) 888-3611
NPI assigned
Feb 27, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Rupesh Patel, RPH
Title
Owner Pharmacist
Phone
(732) 888-7900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 6221 NJ
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3253 State Route 35
Hazlet, NJ 07730-1544

Mailing address

3253 State Route 35
Hazlet, NJ 07730-1544

Other identifiers 2

IdentifierTypeStateIssuer
5174201MedicaidNJ
3133523OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICINE SHOPPE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211026002992 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4789978222 Practice locations: Hazlet, NJ

National Provider Directory

National Provider Directory

Locations

3253 State Route 35
Hazlet, NJ 07730
Phone (732) 888-7646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730215138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 STATE ROUTE 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 STATE ROUTE 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301544",
            "telephone_number": "732-888-7900",
            "fax_number": "732-888-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPESH",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "732-888-7900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "6221",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5174201",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3133523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.