Tranquil Pharm Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS0067600 Issued in NJ

Legal business name

TRANQUIL PHARM INC

Doing business as

PALACE DRUGS

Practice address

172 Newark Ave
Jersey City, NJ 07302-2898

Phone

(201) 432-3300

Fax

(201) 432-1317

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Gayatri R AdusumilliNPI 1588397996

Title

Pic

Phone

(201) 432-3300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PALACE DRUGS 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.

Medicare medical equipment & supply locations

Practitioners 2

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

• Gayatri R Adusumilli

  • Pharmacist
  • Jersey City, NJ
  • NPI 1588397996
  NPD Authorized official
• Vijay Bandla

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Edison, NJ
  • NPI 1063002483
  NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1902927460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022898",
            "telephone_number": "201-432-3300",
            "fax_number": "201-432-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022898",
            "telephone_number": "201-432-3300",
            "fax_number": "201-432-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "ADUSUMILLI",
        "authorized_official_first_name": "GAYATRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "201-432-3300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS0067600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324051",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3101766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALACE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florin Traistaru, DMD
• Anthony F. Tramontana, M.D.
• Jennifer Tran, DDS
• Le Van Tran, DC
• Thanh Phuoc Tran
• Transformation Counseling Services LLC
• Transformational Healthcare Services
• Transformational Healthcare Services
• Transformative Health & Wellness LLC
• Louis Tratenberg I, DDS

• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, 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 Mar 21, 2013; 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.