Mayurkumar M Rana
Individual provider Active NPI Pharmacist · Newak, NJ
NPI 1982175535 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1982175535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03947300 (NJ)
- Practice address
- Komishane'S Pharmacy
199 Stuyvesant Ave
Newak, NJ 07106 - Phone
- (973) 399-0900
- NPI assigned
- Dec 7, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03947300 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amita Corp | Past |
Accepting new patients | |
| Greenhill Pharmacy Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03947300 | NJ | Yes |
Addresses
Primary practice location
Komishane'S Pharmacy
199 Stuyvesant Ave
Newak, NJ 07106
Mailing address
8 Pleasant Ave
Clifton, NJ 07013-2109
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI03947300 | Other | NJ | NJ STATE BOARD OF PHARMACY |
Other providers in Newak, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.