Organization Active NPI

Midtown Pharmaceutical Services Inc.

  • Community/Retail Pharmacy
  • Kearny, NJ
National Provider Identifier
1962565838
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00452800 Issued in NJ
Legal business name
MIDTOWN PHARMACEUTICAL SERVICES INC.
Practice address
581 Kearny Ave
Kearny, NJ 07032-2737
Phone
(201) 991-3454
Fax
(201) 991-1319
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Mr. Prakash Datwani, RPH
Title
Owner-Pharmacist
Phone
(201) 991-3454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00452800 NJ Primary

Addresses

Primary practice location

581 Kearny Ave
Kearny, NJ 07032-2737

Mailing address

581 Kearny Ave
Kearny, NJ 07032-2737
Phone (201) 991-3454

Other identifiers 1

IdentifierTypeStateIssuer
4425405MedicaidNJ

Other names 1

  • Midtown Drugs Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100921000274 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4385769801 Practice locations: Kearny, NJ
O20100930037270 NJ DME Supplier - Pharmacy 4385769801 Practice locations: Kearny, NJ

National Provider Directory

National Provider Directory
Tax ID family
Midtown Drugs2 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.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1962565838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322737",
            "telephone_number": "201-991-3454",
            "fax_number": "201-991-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322737",
            "telephone_number": "201-991-3454",
            "fax_number": "201-991-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PHARMACEUTICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "DATWANI",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "OWNER-PHARMACIST",
        "authorized_official_telephone_number": "201-991-3454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00452800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4425405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.