Provider Demographics
NPI:1568480234
Name:SAHSAM DRUGS & MEDICAL, INC
Entity Type:Organization
Organization Name:SAHSAM DRUGS & MEDICAL, INC
Other - Org Name:SUNRAY DRUGS & MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDRANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-671-1098
Mailing Address - Street 1:1149 STATE ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2605
Mailing Address - Country:US
Mailing Address - Phone:732-671-0350
Mailing Address - Fax:732-671-3725
Practice Address - Street 1:1149 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2605
Practice Address - Country:US
Practice Address - Phone:732-671-0350
Practice Address - Fax:732-671-3725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
NJ28RS006193003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0605930Medicaid
2175772OtherPK
NJ0034665Medicaid