Pranav Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00629300 Issued in NJ

Legal business name

PRANAV PHARMA INC

Practice address

441 Passaic St
Hackensack, NJ 07601-1518

Phone

(201) 488-1230

Fax

(201) 488-6648

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dushyanth Nannapanenni, RPHNPI 1245454362

Title

Pic

Phone

(201) 488-1230

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Hachensack Pharmacy Doing business as

Practitioners 1

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

• Dushyanth Choudary Nannapanenni, RPH.,M.S.

  • Pharmacist
  • Philadelphia, PA
  • NPI 1245454362
  NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1932114337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PASSAIC ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011518",
            "telephone_number": "201-488-1230",
            "fax_number": "201-488-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 PASSAIC ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011518",
            "telephone_number": "201-488-1230",
            "fax_number": "201-488-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANAV PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "NANNAPANENNI",
        "authorized_official_first_name": "DUSHYANTH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "201-488-1230",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00629300",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029459",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3121453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029441",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hachensack Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suraj Pothineni, DO
• Jacqueline Powell, LCSW
• Luca Prada, PT, DPT
• Ankur Pradhan, MD
• Roman Prager, MD
• Precision Family Health, P.C.
• Precision Family Health, P.C.
• Premier Brain and Spine LLC
• Premier Brain and Spine LLC
• Premier Choice Physical Therapy PA

• Community/Retail Pharmacy in Hackensack, NJ
• Providers in Hackensack, 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 Dec 15, 2011; 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.