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WASIM CORPORATION NPI 1750439170


NPI Information

NPI: 1750439170
Provider Name: WASIM CORPORATION

Doing Business As: STAR PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 31D2207022

Address:
4 BRUNSWICK AVE
EDISON, NJ
ZIP 08817
Phone: (732) 777-1717
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WASIM CORPORATION is a community/retail pharmacy pharmacy in Edison, 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. WASIM CORPORATION NPI is 1750439170. The provider is registered as an organization entity type.
The provider Is Doing Business As Star Pharmacy.

The provider's business location address is:

4 BRUNSWICK AVE
EDISON, NJ
ZIP 08817-500
Phone: (732) 777-1717
Fax: (732) 777-1449

The provider's authorized official is Shabbirahmed H Shiliwala .
The authorized official title is V.p (r.ph In Charge) and has the following contact phone number (732) 777-1717.

The CLIA number assigned to this NPI record is 31D2207022 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 2/16/2008.


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
13336C0003XPharmacyCommunity/Retail Pharmacy28RS00520900NEW 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
16714404MEDICAIDNEW JERSEY
2BS4661181OTHERDEA REGISTRATION #
33137280OTHERNABP (NCPDP)
43922900001MEDICARE NSCNEW 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: 11/14/2023

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