Organization Active NPI

Elizabeth Chemists Inc

  • Community/Retail Pharmacy
  • Elizabeth, NJ
National Provider Identifier
1932247681
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00693300 Issued in NJ
Legal business name
ELIZABETH CHEMISTS INC
Practice address
851 Elizabeth Ave
Elizabeth, NJ 07201-2755
Phone
(908) 353-6653
Fax
(908) 353-7340
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Venugopal Ghanta Venkata
Title
Owner/Pharmacist
Phone
(908) 353-6653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00693300 NJ Primary

Addresses

Primary practice location

851 Elizabeth Ave
Elizabeth, NJ 07201-2755

Mailing address

851 Elizabeth Ave
Elizabeth, NJ 07201-2755
Phone (908) 353-6653

Other identifiers 1

IdentifierTypeStateIssuer
4323904MedicaidNJ

Other names 1

  • COLTON'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

851 Elizabeth Ave
Elizabeth, NJ 07201
Phone (908) 353-8200

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1932247681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012755",
            "telephone_number": "908-353-6653",
            "fax_number": "908-353-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012755",
            "telephone_number": "908-353-6653",
            "fax_number": "908-353-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CHEMISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "GHANTA VENKATA",
        "authorized_official_first_name": "VENUGOPAL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "908-353-6653"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00693300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4323904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLTON'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.