Provider Demographics
NPI:1295190114
Name:TTV PHARMACY INC
Entity Type:Organization
Organization Name:TTV PHARMACY INC
Other - Org Name:RITE CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUBBA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-453-3500
Mailing Address - Street 1:406 37TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4804
Mailing Address - Country:US
Mailing Address - Phone:201-453-3500
Mailing Address - Fax:201-453-3553
Practice Address - Street 1:406 37TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4804
Practice Address - Country:US
Practice Address - Phone:201-453-3500
Practice Address - Fax:201-453-3553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS007457003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2156096OtherPK