Santa Maria Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00287200 Issued in NJ

Legal business name

SANTA MARIA PHARMACY LLC

Doing business as

Santa Maria Pharmacy

Practice address

1115 New York Ave
Union City, NJ 07087-4207

Phone

(201) 864-6307

Fax

(201) 864-7254

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Vimal R PatelNPI 1205209806

Title

Pharmacist in Charge

Phone

(201) 864-6307

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Santa Maria Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Vimal R Patel I, PHARM.D

  • Pharmacist
  • Union City, NJ
  • NPI 1205209806
  NPD Authorized official
• Francisco Corzo Jr., PHARMACIST

  • Pharmacist
  • Union City, NJ
  • NPI 1700108768
  NPD

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1992796379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874207",
            "telephone_number": "201-864-6307",
            "fax_number": "201-864-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 NEW YORK AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874207",
            "telephone_number": "201-864-6307",
            "fax_number": "201-864-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "201-864-6307"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00287200",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00287200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3116248",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0617636",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUITMENT",
            "identifier": "2602105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Simon B Santos Arias, MD
• Marisa Santos, MS, OTR
• Idir Saradouni, NP
• Sareena Sathe, DPT

• Community/Retail Pharmacy in Union City, NJ
• Providers in Union City, 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 Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.