Organization Active NPI

Billstra Pharmacy LLC

  • Community/Retail Pharmacy
  • Paterson, NJ
National Provider Identifier
1871660944
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00659200 Issued in NJ
Legal business name
BILLSTRA PHARMACY LLC
Doing business as
Billstra Pharmacy LLC
Practice address
608 21St Ave
Paterson, NJ 07513-1261
Phone
(973) 279-2200
Fax
(973) 279-4933
NPI assigned
Nov 30, 2006
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Paresh GandhiNPI 1669565164
Title
Manager
Phone
(973) 279-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00659200 NJ Primary
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

608 21St Ave
Paterson, NJ 07513-1261

Mailing address

608 21St Ave
Paterson, NJ 07513-1261
Phone (973) 279-2200

Other identifiers 1

IdentifierTypeStateIssuer
2126841OtherPK

Other names 1

  • Billstra Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

608 21st Ave
Paterson, NJ 07513
Phone (973) 279-2200

608 21st Ave
#B
Paterson, NJ 07513
Phone (973) 279-2200

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1871660944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131261",
            "telephone_number": "973-279-2200",
            "fax_number": "973-279-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131261",
            "telephone_number": "973-279-2200",
            "fax_number": "973-279-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLSTRA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "PARESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-279-2200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00659200",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Billstra Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.