Svi Pharma

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00756600 Issued in NJ

Legal business name

SVI PHARMA

Doing business as

Ideal Marketplace Pharmacy

Practice address

85 Ackerman Ave
Clifton, NJ 07011-1501

Phone

(973) 928-3400

Fax

(973) 928-4010

NPI assigned

Jun 16, 2017

Last updated

Jul 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramaswamy Gummadi, RPH

Title

Owner Ideal Marketplace Pharmacy

Phone

(973) 928-4576

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ideal Marketplace Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1932639440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ACKERMAN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111501",
            "telephone_number": "973-928-3400",
            "fax_number": "973-928-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 ACKERMAN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111501",
            "telephone_number": "973-928-3400",
            "fax_number": "973-928-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVI PHARMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "GUMMADI",
        "authorized_official_first_name": "RAMASWAMY",
        "authorized_official_title_or_position": "OWNER IDEAL MARKETPLACE PHARMACY",
        "authorized_official_telephone_number": "973-928-4576",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00756600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169828",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Marketplace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Clifton, NJ
• Providers in Clifton, 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 Jul 27, 2018; 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.