Bergen Pharmacy

LBN: Siddhivinayak Inc
Bergen Pharmacy is an health care organization with primary practice located at 90 Bergen St Suite 1600, Newark NJ 07103-2425. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Siddhivinayak Inc can be contacted via phone (973) 972-1960, or through Nagrecha, Rasik M via phone (973) 972-1960.

Contact Information

Primary practice address
90 Bergen St Suite 1600 Newark NJ 07103-2425
Phone: (973) 972-1960
Fax: (973) 972-8158
Website:
Map and Directions
Authorized official contact:
Name: Nagrecha, Rasik M RPH
Phone: (973) 972-1960

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28R00581900 New Jersey

Profile Details

NPI number 1801996053
LBN Legal business name Siddhivinayak Inc
DBA Doing business as Bergen Pharmacy
Authorized official Nagrecha, Rasik M RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801996053 NPPES
New Jersey Other 3142053 NCPDP
New Jersey MEDICAID 8172510 NCPDP
New Jersey MEDICAID 8172501 NCPDP

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