Wasim Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00520900 Issued in NJ

Legal business name

WASIM CORPORATION

Practice address

4 Brunswick Ave
Edison, NJ 08817-2500

Phone

(732) 777-1717

Fax

(732) 777-1449

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Nickolas Almeida Martins

Title

Owner

Phone

(732) 777-1717

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• STAR PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Tax ID family

Star Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wasim Corporation

  • Long Term Care Pharmacy
  • Edison, NJ
  • NPI 1265151153
  NPD tax ID

Locations

Practitioners 2

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

• Sherly Thomas

  • Community/Retail Pharmacy
  • Edison, NJ
  • NPI 1649790312
  NPD
• Sowmya Vishnubhakthula

  • Pharmacist
  • Edison, NJ
  • NPI 1023830239
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1750439170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRUNSWICK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172500",
            "telephone_number": "732-777-1717",
            "fax_number": "732-777-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRUNSWICK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172500",
            "telephone_number": "732-777-1717",
            "fax_number": "732-777-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASIM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "MARTINS",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_middle_name": "ALMEIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-777-1717"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00520900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP (NCPDP)",
            "identifier": "3137280",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603813",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Warren M. Kraus, MD, PC
• Warrior Gains LLC
• Amman Waseem
• Stan J Wasilewski, M.D.
• Wasim Corporation
• Muhammad Hamza Wasim, MD
• Christine Elizabeth Wasiuk
• Kristen L. Watts, RDN, MS
• Waves of Change Counseling Center
• Amy Waxman, DMD

• Community/Retail Pharmacy in Edison, NJ
• Providers in Edison, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.