Organization Active NPI

SVTC Pharma Inc

  • Community/Retail Pharmacy
  • Ridgewood, NJ
National Provider Identifier
1811065055
Registry record updated Jan 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00589300 Issued in NJ
Legal business name
SVTC PHARMA INC
Practice address
60 E Ridgewood Ave
Ridgewood, NJ 07450-3810
Phone
(201) 652-0013
Fax
(201) 652-0020
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2014

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

Authorized official

Name
Purnachandra Rao Akkineni
Title
President
Phone
(201) 652-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00589300 NJ Primary

Addresses

Primary practice location

60 E Ridgewood Ave
Ridgewood, NJ 07450-3810

Mailing address

60 E Ridgewood Ave
Ridgewood, NJ 07450-3810
Phone (201) 652-0013

Other identifiers 2

IdentifierTypeStateIssuer
3100156OtherNJNABP NUMBER
0282481MedicaidNJ

Other names 1

  • TOWN AND COUNTRY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

60 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 652-0013

Practitioners & affiliated clinicians

Practitioners 1

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388793600000",
    "number": "1811065055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503810",
            "telephone_number": "201-652-0013",
            "fax_number": "201-652-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503810",
            "telephone_number": "201-652-0013",
            "fax_number": "201-652-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVTC PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-01-04",
        "status": "A",
        "authorized_official_last_name": "AKKINENI",
        "authorized_official_first_name": "PURNACHANDRA RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-652-0013"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00589300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3100156",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282481",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN AND COUNTRY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; 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.