Raritan Valley Healthcare Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00638100 Issued in NJ

Legal business name

RARITAN VALLEY HEALTHCARE ENTERPRISES LLC

Doing business as

Raritan Valley Pharmacy

Practice address

1055 Route 202 N
Branchburg, NJ 08876-3936

Phone

(908) 429-5544

Fax

(908) 429-1345

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Sagar PatelNPI 1043589070

Title

President

Phone

(908) 429-5544

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Raritan Valley Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Raritan Valley Healthcare Enterprises 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 Valley Healthcare Enterprises LLC

  dba Raritan Valley LTC Pharmacy

  • Long Term Care Pharmacy
  • Branchburg, NJ
  • NPI 1104524990
  NPD tax ID

Locations

Practitioners 5

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

• Sagar P Patel, PHARMD

  • Pharmacist
  • Branchburg, NJ
  • NPI 1043589070
  NPD Authorized official
• Thomas A Nielsen, RPH

  • Pharmacist
  • Branchburg, NJ
  • NPI 1700100021
  NPD (past)
• Rushit Patel, PHARMD

  • Pharmacist
  • Branchburg, NJ
  • NPI 1477249688
  NPD (past)
• Charles J Travis, RPH

  • Pharmacist
  • Branchburg, NJ
  • NPI 1316097058
  NPD (past)
• William Charles Viola, RPH

  • Pharmacist
  • Branchburg, NJ
  • NPI 1588933956
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1932206869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ROUTE 202 N",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763936",
            "telephone_number": "908-429-5544",
            "fax_number": "908-429-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ROUTE 202 N",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763936",
            "telephone_number": "908-429-5544",
            "fax_number": "908-429-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN VALLEY HEALTHCARE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-429-5544"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00638100",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137852",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38938",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raritan Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prism Medical Lab Inc
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• Julia Radwanski, D.C.
• Raritan Valley Healthcare Enterprises LLC (Raritan Valley LTC Pharmacy)
• Raritan Valley Medical Group,LLC
• Ramon Rego, MD
• Rehoboth Mental Health Consult LLC
• Leiden Reitz, OTR/L
• Rem New Jersey, Inc.

• Community/Retail Pharmacy in Branchburg, NJ
• Providers in Branchburg, 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 Feb 27, 2023; 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.