Easypharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS615100 Issued in NJ

Legal business name

EASYPHARMACY INC.

Practice address

931 Kennedy Blvd
Manville, NJ 08835-2007

Phone

(908) 722-7002

Fax

(908) 722-7262

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kiran Parvatrao, R.PH.NPI 1649649393

Title

Pres & Ceo

Phone

(908) 722-7002

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EASY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiran Parvatrao, R.PH.

  • Pharmacist
  • Manville, NJ
  • NPI 1649649393
  NPD Authorized official

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1861488397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 KENNEDY BLVD",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088352007",
            "telephone_number": "908-722-7002",
            "fax_number": "908-722-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 KENNEDY BLVD",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088352007",
            "telephone_number": "908-722-7002",
            "fax_number": "908-722-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASYPHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "PARVATRAO",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "PRES & CEO",
        "authorized_official_telephone_number": "908-722-7002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS615100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8906700",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8906718",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Manville, NJ
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.