Organization Active NPI

Howlin Enterprises Inc

Doing business as Clifton Pharmacy & Compounding Center

  • Community/Retail Pharmacy
  • Clifton, NJ
National Provider Identifier
1801900105
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00341000 Issued in NJ
Legal business name
HOWLIN ENTERPRISES INC
Doing business as
Clifton Pharmacy & Compounding Center
Practice address
595 Van Houten Ave
Clifton, NJ 07013-2113
Phone
(973) 777-2428
Fax
(973) 777-8745
NPI assigned
Aug 17, 2006
Last updated
Oct 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Authorized official

Name
Purnendu P Raval, PHARM D.NPI 1871875484
Title
Owner
Phone
(973) 925-7757

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
Community/Retail Pharmacy 3336C0003X 28RS00341000 NJ Primary
Specialty Pharmacy 3336S0011X 28RS00341000 NJ

Addresses

Primary practice location

595 Van Houten Ave
Clifton, NJ 07013-2113

Mailing address

595 Van Houten Ave
Clifton, NJ 07013-2113
Phone (973) 777-2428

Other identifiers 2

IdentifierTypeStateIssuer
4347501MedicaidNJ
3134202MedicaidNJ

Other names 1

  • Clifton Pharmacy & Compounding Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220629001562 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4486773512 Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

595 Van Houten Ave
Clifton, NJ 07013
Phone (201) 652-0013

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1801900105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 VAN HOUTEN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132113",
            "telephone_number": "973-777-2428",
            "fax_number": "973-777-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 VAN HOUTEN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132113",
            "telephone_number": "973-777-2428",
            "fax_number": "973-777-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWLIN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "PURNENDU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-925-7757",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00341000",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00341000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4347501",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3134202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton Pharmacy & Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clifton Pharmacy & Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.