Provider Demographics
NPI:1053303370
Name:KUNJ CORPORATION
Entity Type:Organization
Organization Name:KUNJ CORPORATION
Other - Org Name:HIGHTSTOWN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:JITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PADH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-371-9000
Mailing Address - Street 1:100 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIGHTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-3300
Mailing Address - Country:US
Mailing Address - Phone:609-371-9000
Mailing Address - Fax:609-371-0037
Practice Address - Street 1:100 MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08520-3300
Practice Address - Country:US
Practice Address - Phone:609-371-9000
Practice Address - Fax:609-371-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS006317003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2054891OtherPK
NJ0072044Medicaid
2054891OtherPK