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UNION AVENUE HEALTHCARE INC NPI 1700807773


NPI Information

NPI: 1700807773
Provider Name: UNION AVENUE HEALTHCARE INC

Doing Business As: UNION AVENUE LEGEND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 31D2203938

Address:
433 W UNION AVE
BOUND BROOK, NJ
ZIP 08805
Phone: (732) 356-3113
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UNION AVENUE HEALTHCARE INC is a community/retail pharmacy pharmacy in Bound Brook, 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. UNION AVENUE HEALTHCARE INC NPI is 1700807773. The provider is registered as an organization entity type.
The provider Is Doing Business As Union Avenue Legend Pharmacy.

The provider's business location address is:

433 W UNION AVE
BOUND BROOK, NJ
ZIP 08805-220
Phone: (732) 356-3113
Fax: (732) 356-6691

The provider's authorized official is Jatin Patel .
The authorized official title is Owner and has the following contact phone number (732) 356-3113.

The CLIA number assigned to this NPI record is 31D2203938 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 10/23/2014.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy28RS00584200NEW 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
12054957OTHERPK
24046090001MEDICARE NSC
38385301MEDICAIDNEW 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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