Active NPI
Prity S Avichal
- Pharmacist
- Union, NJ
National Provider Identifier
1790228914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03828600
- Practice address
- 327 Chestnut St
Union, NJ 07083-9426 - Phone
- (908) 686-1212
- NPI assigned
- Nov 19, 2016
- Last updated
- Nov 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03828600 | NJ | Primary |
| Pharmacist | 183500000X | 28RJ06938 | NJ |
Addresses
Primary practice location
327 Chestnut St
Union, NJ 07083-9426
Mailing address
1244 Plane St
Union, NJ 07083-3820
Phone (908) 456-2843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6892701 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03828600 | NJ | MD | Pharmacist |
| 28RJ06938 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479513600000",
"number": "1790228914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1244 PLANE ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070833820",
"telephone_number": "908-456-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070839426",
"telephone_number": "908-686-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVICHAL",
"first_name": "PRITY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-19",
"last_updated": "2016-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03828600",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RJ06938",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6892701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
- Associates in Family and Geriatric Medicine LLC
- Assure Quality Healthcare Services LLC
- Astra Medical Supply LLC
- Audiology Services Company USA, LLC
- Kevin Shailesh Avichal, PA-C
- Avilo Care Services LLC
- Rachel R. Awolowo, NP
- Morgan Axmann, OTD
- Adedolapo Elizabeth Ayediran, DDS
- Christine Ayers, MA, PD, NCSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.