Active NPI
RMN Inc
- Community/Retail Pharmacy
- Newark, NJ
National Provider Identifier
1790790319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00293500
- Legal business name
- RMN INC
- Practice address
- 178-180 Lyons Ave
Newark, NJ 07112 - Phone
- (973) 926-9702
- Fax
- (973) 926-9603
- NPI assigned
- Jul 30, 2006
- 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. Devang Nagrecha, PHARM D
- Title
- President
- Phone
- (973) 632-4994
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00293500 | NJ | Primary |
Addresses
Primary practice location
178-180 Lyons Ave
Newark, NJ 07112
Mailing address
23 Canoe Brook Dr
Livingston, NJ 07039-6121
Phone (973) 623-1876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3112872 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 4325702 | Medicaid | NJ |
Other names 1
- BERGEN PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930091404 | NJ | DME Supplier - Pharmacy | 6507976669 | Practice locations: Newark, NJ |
| O20210105003321 | NJ | Part B Supplier - Pharmacy | 6507976669 | Practice locations: Newark, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Walter J Lewit Drug
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Newark, NJ
- NPI 1861911653
Locations
124 Spruce St
#J
Newark, NJ 07108
Phone (973) 623-1876
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Newark, NJ
- NPI 1861911653
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Livingston, NJ
- NPI 1689951675
-
- Pharmacist
- Newark, NJ
- NPI 1851669154
-
- Pharmacist
- Paramus, NJ
- NPI 1508107111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744761600000",
"number": "1790790319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CANOE BROOK DR",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070396121",
"telephone_number": "973-623-1876",
"fax_number": "973-623-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178-180 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "973-926-9702",
"fax_number": "973-926-9603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RMN INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "NAGRECHA",
"authorized_official_first_name": "DEVANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-632-4994",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00293500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3112872",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4325702",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BERGEN PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BERGEN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.