PSM RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00750100 Issued in NJ

Legal business name

PSM RX LLC

Practice address

93 Market St
Passaic, NJ 07055-7502

Phone

(973) 955-4950

Fax

(973) 955-4951

NPI assigned

Jul 16, 2016

Organization subpart

No

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

Authorized official

Name

Mukesh PatelNPI 1891944062

Title

Managing Member/Owner

Phone

(908) 553-6222

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MARKET STREET PHARMACY Doing business as

Locations

Practitioners 1

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

• Mukesh R Patel, RPH

  • Pharmacist
  • Passaic, NJ
  • NPI 1891944062
  NPD Authorized official

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1962855775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TODD CIR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025014",
            "telephone_number": "973-955-4950",
            "fax_number": "973-955-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MARKET ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557502",
            "telephone_number": "973-955-4950",
            "fax_number": "973-955-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSM RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-16",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "908-553-6222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00750100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKET STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Passaic, NJ
• Providers in Passaic, 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 Jan 29, 2020; 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.