Provider Demographics
NPI:1407150568
Name:NILVARNI
Entity Type:Organization
Organization Name:NILVARNI
Other - Org Name:ORADELL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELSAYED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELHAMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-888-7685
Mailing Address - Street 1:680 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649
Mailing Address - Country:US
Mailing Address - Phone:201-477-0222
Mailing Address - Fax:
Practice Address - Street 1:680 KINDERKAMACK RD
Practice Address - Street 2:SUITE 104
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649
Practice Address - Country:US
Practice Address - Phone:201-477-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007114003336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3197743OtherNCPDP PROVIDER IDENTIFICATION NUMBER