MONTCLAIR PHARMACY RX LLC NPI 1104862564

NPI Information

  • NPI: 1104862564
  • Provider Name: MONTCLAIR PHARMACY RX LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MONTCLAIR PHARMACY
  • Address: 732 VALLEY RD
    UPPER MONTCLAIR, NJ
    ZIP 07043
  • Phone: (973) 744-2113

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NPI Details

MONTCLAIR PHARMACY RX LLC is a community/retail pharmacy pharmacy in Upper Montclair, NJ. The provider is 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. MONTCLAIR PHARMACY RX LLC NPI is 1104862564. The provider is registered as an organization entity type.
The provider Is Doing Business As Montclair Pharmacy.

The provider's business location address is:

732 VALLEY RD
UPPER MONTCLAIR, NJ
ZIP 07043-521
Phone: (973) 744-2113
Fax: (973) 744-2691

The provider's authorized official is Hema Patel .
The authorized official title is Owner and has the following contact phone number (813) 304-2221.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 5/25/2023.

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
13336C0003XPharmacyCommunity/Retail PharmacyYes

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
12056802OTHERPK
24248210MEDICAIDNEW 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: 3/30/2025

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