Organization Active NPI

Union Side RX Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1790790384
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS0065170 Issued in NJ
Legal business name
UNION SIDE RX INC
Practice address
509 W Side Ave
Jersey City, NJ 07304-1515
Phone
(201) 333-6663
Fax
(201) 333-3613
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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

Authorized official

Name
Parmeshwar RamnauthNPI 1811264500
Title
Owner
Phone
(201) 333-6663

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS0065170 NJ Primary

Addresses

Primary practice location

509 W Side Ave
Jersey City, NJ 07304-1515

Mailing address

509 W Side Ave
Jersey City, NJ 07304-1515
Phone (201) 333-6663

Other identifiers 2

IdentifierTypeStateIssuer
2055643OtherPK
0078425MedicaidNJ

Other names 1

  • AMERICAN PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601000087 NJ Part B Supplier - Pharmacy 4880805167 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

509 W Side Ave
Jersey City, NJ 07304
Phone (201) 333-6663

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1482019200000",
    "number": "1790790384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W SIDE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041515",
            "telephone_number": "201-333-6663",
            "fax_number": "201-333-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W SIDE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041515",
            "telephone_number": "201-333-6663",
            "fax_number": "201-333-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SIDE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "RAMNAUTH",
        "authorized_official_first_name": "PARMESHWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-333-6663"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS0065170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055643",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078425",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; 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.