Ambita Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00475100 Issued in NJ

Legal business name

AMBITA CORPORATION

Doing business as

Green Cross Pharmacy

Practice address

120 Market St
Passaic, NJ 07055-7625

Phone

(973) 473-3727

Fax

(973) 473-8003

NPI assigned

Feb 14, 2007

Last updated

Dec 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raj Gandhi

Title

VP

Phone

(973) 473-3727

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GREEN CROSS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1831232792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARKET ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557625",
            "telephone_number": "973-473-3727",
            "fax_number": "973-473-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MARKET ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557625",
            "telephone_number": "973-473-3727",
            "fax_number": "973-473-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBITA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "973-473-3727"
    },
    "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": "28RS00475100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5374804",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2052539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREEN CROSS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allure Dental Care
• Raul Almanzar, MD
• Alpha Care Pediatrics, LLC
• Maxine Amadi, MD
• Amarnath Avancha PA
• Juhi Amin, MBBS, MS, MD
• Andrea Meth Thorburn, LCSW
• Anesthesiology Associates of New Jersey, P.a.
• Anna Irizarry-Wood MSW, LCSW LLC
• Areche & Croix Professional Counseling Services, LLC

• Community/Retail Pharmacy in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.