Organization Active NPI

Carewell Pharmacy Inc.

  • Point of Service
  • Harrison, NJ
National Provider Identifier
1790772085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
28RS00616300 Issued in NJ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0005193MedicaidNJ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.