FANWOOD RX CORP (NPI# 1851740401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851740401 |
| Entity Type | Organization |
| Organization Name | FANWOOD RX CORP |
| Practice Address |
246 South Ave Unit 104 Fanwood NJ 07023-1220 |
| Practice Telephone | 9086806936 |
| Practice Fax Number | 9086806937 |
| Mailing Telephone | 9086806936 |
| Mailing Fax Number | 9086806937 |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MITUL PATEL (PRESIDENT,PIC, AO) |
| Authorized Official Telephone | 9086806936 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00749500 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160637 | 01 | |
| NJ | 0547891 | 05 |
| Other Name | Type Code |
|---|---|
| Fanwood Pharmacy | Doing Business As Name - Organization |
| Street Address |
246 SOUTH AVE UNIT 104 |
| City | FANWOOD |
| State | NJ |
| Zip Code | 07023-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376827154 | Mitul P Patel | Pharmacist | 246 South Ave Unit 104, Fanwood, NJ 07023-1220 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578910303 | Jessica Furino | Counselor | 141 South Avenue, Suite 103, Fanwood, NJ 07023 | 2016-05-23 |
| 1518392299 | Jaime Lauren | Social Worker | 141 South Ave Ste 7, Fanwood, NJ 07023 | 2013-09-12 |
| 1497998207 | Jennifer R Sullivan | Speech-Language Pathologist | 161 Herbert Ave, Fanwood, NJ 07023 | 2009-04-08 |
| 1265654800 | Laura A Jarmer | Physical Therapist | 313 South Avenue, Fanwood, NJ 07023 | 2007-05-03 |
| 1225259138 | Domenic Monaco | Dentist | 346 South Ave. Suite 7, Fanwood, NJ 07023 | 2007-05-01 |
| 1356866230 | Katheryne Wall | Occupational Therapist | 274 South Ave, Fanwood, NJ 07023 | 2017-08-11 |
| 1124334420 | Kimberly Jayne Lindland Crawford | Occupational Therapist | 313 South Ave, Fanwood, NJ 07023 | 2010-08-24 |
| 1619057122 | Lawrence Hernandez | Physical Therapist | 313 South Ave, Suite #205 Panther Pt and Sports Medicine, Fanwood, NJ 07023 | 2006-10-17 |
| 1346257508 | Joseph A Scalia | Family Medicine | 346 South Ave, Suite 6, Fanwood, NJ 07023 | 2006-08-01 |
| 1619349925 | Kendra Dickerson | Behavioral Analyst | 95 Farley Ave, Fanwood, NJ 07023-1004 | 2015-10-26 |
| Find all providers in zip 07023 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.