Provider Type Icon

AMITA CORP NPI 1174683999


NPI Information

NPI: 1174683999
Provider Name: AMITA CORP

Doing Business As: KOMISHANE'S PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 31D2248445

Address:
199 STUYVESANT AVE
NEWARK, NJ
ZIP 07106
Phone: (973) 399-0900
Get Directions

AMITA 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. AMITA CORP NPI is 1174683999. The provider is registered as an organization entity type.
The provider Is Doing Business As Komishane's Pharmacy.

The provider's business location address is:

199 STUYVESANT AVE
NEWARK, NJ
ZIP 07106-020
Phone: (973) 399-0900
Fax: (973) 399-0902

The provider's authorized official is Ghansham Datwani .
The authorized official title is President Pharmacist and has the following contact phone number (973) 399-0900.

The CLIA number assigned to this NPI record is 31D2248445 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/28/2014.


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
1333600000XPharmacy28RS0032200NEW 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
10623650001MEDICARE NSCNEW JERSEY
23123976OTHERNEW JERSEYNABP

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.