Raritan Bay Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

RI23166 Issued in NJ

Legal business name

RARITAN BAY PHARMACY INC

Doing business as

Raritan Bay Pharmacy and Surgical

Practice address

501 New Brunswick Ave
Perth Amboy, NJ 08861-3653

Phone

(732) 376-1600

Fax

(732) 376-1602

NPI assigned

Nov 7, 2006

Last updated

Jun 4, 2024By 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

Fady Botrous INPI 1518713056

Title

Owner

Phone

(551) 221-3506

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RARITAN BAY PHARMACY AND SURGICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Anuaash LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Raritan Bay Pharmacy Inc

  • Long Term Care Pharmacy
  • Perth Amboy, NJ
  • NPI 1225985849
  NPD tax ID

Locations

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.

• Fady Botrous

  • Pharmacy Technician
  • Perth Amboy, NJ
  • NPI 1518713056
  Authorized official Same address or phone

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1851460653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613653",
            "telephone_number": "732-376-1600",
            "fax_number": "732-376-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613653",
            "telephone_number": "732-376-1600",
            "fax_number": "732-376-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN BAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BOTROUS",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-221-3506",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RI23166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067288",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RARITAN BAY PHARMACY AND SURGICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raritan Bay Medical Center Professional Services
• Raritan Bay Medical Center Professional Services
• Raritan Bay Medical Center Professional Services
• Raritan Bay Oral & Maxillofacial Surgery PA
• Raritan Bay Pharmacy Inc
• Raritan Bay Physicians Group PC
• Raritan Management Corporation
• Raritan Management Corporation (Raritan Management Corp Methadone Program)
• Raritan OB GYN Associates
• Iqbal Rashid, MD

• Pharmacist in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.