Organization Active NPI

Krishna Pharmacy Inc

Doing business as Waldwick Pharmacy

  • Community/Retail Pharmacy
  • Waldwick, NJ
National Provider Identifier
1760490395
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00683200 Issued in NJ
Legal business name
KRISHNA PHARMACY INC
Doing business as
Waldwick Pharmacy
Practice address
16 E Prospect St
Waldwick, NJ 07463-2008
Phone
(201) 445-1100
Fax
(201) 652-2455
NPI assigned
Aug 3, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Naresh Kanani, BACHELORNPI 1134443369
Title
Vice President
Phone
(201) 445-1100

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00683200 NJ Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

16 E Prospect St
Waldwick, NJ 07463-2008

Mailing address

16 E Prospect St
Waldwick, NJ 07463-2008
Phone (201) 445-1100

Other identifiers 2

IdentifierTypeStateIssuer
2128944OtherPK
0279692MedicaidNJ

Other names 1

  • Waldwick Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120905000078 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 2668646753 Practice locations: Waldwick, NJ

National Provider Directory

National Provider Directory

Locations

16 E Prospect St
Waldwick, NJ 07463
Phone (201) 445-1100

Practitioners & affiliated clinicians

Practitioners 7

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1760490395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E PROSPECT ST",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074632008",
            "telephone_number": "201-445-1100",
            "fax_number": "201-652-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E PROSPECT ST",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074632008",
            "telephone_number": "201-445-1100",
            "fax_number": "201-652-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-19",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "KANANI",
        "authorized_official_first_name": "NARESH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "201-445-1100",
        "authorized_official_credential": "BACHELOR"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00683200",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128944",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279692",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldwick Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waldwick Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.