AMITA CORP NPI 1174683999

NPI Information

  • NPI: 1174683999
  • Provider Name: AMITA CORP
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: KOMISHANE'S PHARMACY
  • CLIA Number: 31D2248445
  • Address: 199 STUYVESANT AVE
    NEWARK, NJ
    ZIP 07106
  • Phone: (973) 399-0900

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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