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PLAINS PHARMACY OF WAYNE TWP INC NPI 1013048065


NPI Information

NPI: 1013048065
Provider Name: PLAINS PHARMACY OF WAYNE TWP INC

Doing Business As: PLAINS PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 31D2208027

Address:
578 VALLEY RD
WAYNE, NJ
ZIP 07470
Phone: (973) 694-5522
Get Directions

PLAINS PHARMACY OF WAYNE TWP INC is a pharmacist in Wayne, NJ. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. PLAINS PHARMACY OF WAYNE TWP INC NPI is 1013048065. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Plains Pharmacy.

The provider's business location address is:

578 VALLEY RD
WAYNE, NJ
ZIP 07470-526
Phone: (973) 694-5522
Fax: (973) 694-1751

The provider's authorized official is Manu Kakar .
The authorized official title is Owner and has the following contact phone number (973) 694-5522.

The CLIA number assigned to this NPI record is 31D2208027 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 9/27/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist28RS00668900NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10144355MEDICAIDNEW JERSEY

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: 5/5/2024

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