Organization Active NPI

Edison Drugs & Surgical Inc

Doing business as Town Drugs & Surgical

  • Pharmacy
  • Perth Amboy, NJ
National Provider Identifier
1942351747
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2ZRS00651300 Issued in NJ
Legal business name
EDISON DRUGS & SURGICAL INC
Doing business as
Town Drugs & Surgical
Practice address
164 Smith St
Perth Amboy, NJ 08861-4312
Phone
(732) 324-4200
Fax
(732) 324-4201
NPI assigned
Jan 16, 2007
Last updated
May 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Mr. Padmesh PatelNPI 1235298456
Title
Pharmacist in-Charge
Phone
(718) 387-2665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1106600001
Pharmacy 333600000X 2ZRS00651300 NJ Primary

Addresses

Primary practice location

164 Smith St
Perth Amboy, NJ 08861-4312

Mailing address

238 Smith St
Perth Amboy, NJ 08861-4324
Phone (732) 324-4200

Other identifiers 4

IdentifierTypeStateIssuer
22RS00651300OtherNJPHARMACY
1H9751OtherMEDICARE MASS IMMUNIZATION
0598968MedicaidNJ
3137850OtherNABP

Other names 1

  • Town Drugs & Surgical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930020566 NJ DME Supplier - Pharmacy 4880714880 Practice locations: Perth Amboy, NJ
O20201014002048 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4880714880 Practice locations: Perth Amboy, NJ

National Provider Directory

National Provider Directory

Locations

213 Smith St
Perth Amboy, NJ 08861
Phone (732) 324-4200

238 Smith St
Perth Amboy, NJ 08861
Phone (732) 324-4200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1942351747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614324",
            "telephone_number": "732-324-4200",
            "fax_number": "732-324-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614312",
            "telephone_number": "732-324-4200",
            "fax_number": "732-324-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON DRUGS & SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PADMESH",
        "authorized_official_title_or_position": "PHARMACIST IN-CHARGE",
        "authorized_official_telephone_number": "718-387-2665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "1106600001",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "2ZRS00651300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "22RS00651300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZATION",
            "identifier": "1H9751",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598968",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3137850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Drugs & Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.