Organization Active NPI

Kwickmed Farmacia LLC

Doing business as Kwickmed Farmacia

  • Community/Retail Pharmacy
  • Union City, NJ
National Provider Identifier
1730416892
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00701100 Issued in NJ
Legal business name
KWICKMED FARMACIA LLC
Doing business as
Kwickmed Farmacia
Practice address
4121C New York Ave
Union City, NJ 07087-4927
Phone
(201) 758-8982
Fax
(201) 758-8983
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Parag Raithatha
Title
Owner
Phone
(201) 758-8982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00701100 NJ Primary

Addresses

Primary practice location

4121C New York Ave
Union City, NJ 07087-4927

Mailing address

4121C New York Ave
Union City, NJ 07087-4927
Phone (973) 563-9521

Other identifiers 2

IdentifierTypeStateIssuer
0242675MedicaidNJ
2122784OtherPK

Other names 1

  • KWICKMED FARMACIA Doing business as

National Provider Directory

National Provider Directory

Locations

4121 New York Ave
#C
Union City, NJ 07087

Practitioners & affiliated clinicians

Practitioners 2

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": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1730416892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121C NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874927",
            "telephone_number": "973-563-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121C NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874927",
            "telephone_number": "201-758-8982",
            "fax_number": "201-758-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWICKMED FARMACIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "RAITHATHA",
        "authorized_official_first_name": "PARAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-758-8982"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00701100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0242675",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122784",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KWICKMED FARMACIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.