Super Health Pharmacy NJ LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SUPER HEALTH PHARMACY NJ LLC

Practice address

651 N Stiles St
Linden, NJ 07036-5759

Phone

(908) 718-5459

Fax

(908) 718-5760

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Vaishali RawaniNPI 1598327314

Title

Pic

Phone

(908) 718-5459

Specialties & licenses 1

Addresses

Tax ID family

Super Health Pharmacy2 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.

• Super Health Pharmacy NJ LLC

  • Community/Retail Pharmacy
  • Linden, NJ
  • NPI 1467016006
  NPD tax ID

Practitioners 1

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

• Vaishali Rawani, PHARMD

  • Pharmacist
  • Linden, NJ
  • NPI 1598327314
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1972360154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N STILES ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365759",
            "telephone_number": "908-718-5459",
            "fax_number": "908-718-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N STILES ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365759",
            "telephone_number": "908-718-5459",
            "fax_number": "908-718-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER HEALTH PHARMACY NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "RAWANI",
        "authorized_official_first_name": "VAISHALI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "908-718-5459"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sviatlana Stsiatsevich, DDS
• Richard Sufficool, DMD
• Sufi LLC
• Fawzi A Suliaman, M.D.
• Super Health Pharmacy NJ LLC
• Justyna Surowiec, DC
• Nathaniel Sutain, M.D.
• Lorraine Suter
• Lorrie-Ann Swan-Charles
• Dev Tailor, PHARM D

• Long Term Care Pharmacy in Linden, NJ
• Providers in Linden, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.