Provider Demographics
NPI:1063658276
Name:RAHIL PHARMACY INC
Entity Type:Organization
Organization Name:RAHIL PHARMACY INC
Other - Org Name:FEINSTEINS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PIC
Authorized Official - Prefix:
Authorized Official - First Name:SHILA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:973-372-1894
Mailing Address - Street 1:295 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-1104
Mailing Address - Country:US
Mailing Address - Phone:973-372-1894
Mailing Address - Fax:973-372-1895
Practice Address - Street 1:295 16TH AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-1104
Practice Address - Country:US
Practice Address - Phone:973-372-1894
Practice Address - Fax:973-372-1895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS005192003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6654703Medicaid
2119202OtherPK
NJ6654703Medicaid