Active NPI
Union Side RX Inc
- Community/Retail Pharmacy
- Jersey City, NJ
National Provider Identifier
1790790384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS0065170
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Parmeshwar Ramnauth
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2055643 | Other | PK | |
| 0078425 | Medicaid | NJ |
Other names 1
- AMERICAN PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210601000087 | NJ | Part B Supplier - Pharmacy | 4880805167 | Practice locations: Jersey City, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Jersey City, NJ
- NPI 1811264500
-
- Pharmacist
- Jersey City, NJ
- NPI 1558635987
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.