Healthy for Life LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00716200 Issued in NJ

Legal business name

HEALTHY FOR LIFE LLC

Doing business as

Smile Pharmacy and Surgical Supplies

Practice address

1110 Hamilton Blvd
South Plainfield, NJ 07080-2000

Phone

(908) 756-3232

Fax

(908) 756-3111

NPI assigned

Nov 22, 2011

Last updated

Jan 18, 2017By 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

Mahendra PatelNPI 1417227281

Title

Manager

Phone

(732) 986-6694

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Smile Pharmacy and Surgical Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Mahendra Patel, PHARM.D.

  • Pharmacist
  • South Plainfield, NJ
  • NPI 1417227281
  NPD Authorized official

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1841567682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HAMILTON BLVD",
            "address_2": "UNIT 1A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802000",
            "telephone_number": "908-756-3232",
            "fax_number": "908-756-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HAMILTON BLVD",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802000",
            "telephone_number": "908-756-3232",
            "fax_number": "908-756-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY FOR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-986-6694"
    },
    "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": "28RS00716200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Pharmacy and Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in South Plainfield, NJ
• Providers in South Plainfield, 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 Jan 18, 2017; 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.