Provider Type Icon

BRANCH BROOK CORP. NPI 1093790040


NPI Information

NPI: 1093790040
Provider Name: BRANCH BROOK CORP.

Doing Business As: BRANCH BROOK PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
917 FRANKLIN AVE
NEWARK, NJ
ZIP 07107
Phone: (973) 412-7300
Get Directions

BRANCH BROOK CORP. is a pharmacy in Newark, NJ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BRANCH BROOK CORP. NPI is 1093790040. The provider is registered as an organization entity type.
The provider Is Doing Business As Branch Brook Pharmacy.

The provider's business location address is:

917 FRANKLIN AVE
NEWARK, NJ
ZIP 07107-809
Phone: (973) 412-7300
Fax: (973) 412-7303

The provider's authorized official is Manoj Barot .
The authorized official title is President and has the following contact phone number (973) 412-7300.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 3/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy28RS00603800NEW JERSEYNo
2332B00000XDurable Medical Equipment & Medical Supplies28RS00603800NEW JERSEYNo
3333600000XPharmacy28RS00603800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14329730001MEDICARE NSCNEW JERSEY
28625701MEDICAIDNEW JERSEY
34329730001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.