Active NPI
Carewell Pharmacy Inc.
- Point of Service
- Harrison, NJ
National Provider Identifier
1790772085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 28RS00616300
- Legal business name
- CAREWELL PHARMACY INC.
- Practice address
- 333 Harrison Ave
Harrison, NJ 07029-1753 - Phone
- (973) 485-5678
- NPI assigned
- Oct 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Swapnil R Radadia
- Title
- Rpic
- Phone
- (973) 485-5678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 28RS00616300 | NJ | Primary |
Addresses
Primary practice location
333 Harrison Ave
Harrison, NJ 07029-1753
Mailing address
333 Harrison Ave
Harrison, NJ 07029-1753
Phone (973) 485-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005193 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790772085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 HARRISON AVE",
"city": "HARRISON",
"state": "NJ",
"postal_code": "070291753",
"telephone_number": "973-485-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 HARRISON AVE",
"city": "HARRISON",
"state": "NJ",
"postal_code": "070291753",
"telephone_number": "973-485-5678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREWELL PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RADADIA",
"authorized_official_first_name": "SWAPNIL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "RPIC",
"authorized_official_telephone_number": "973-485-5678",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "NJ",
"license": "28RS00616300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005193",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.