Provider Demographics
NPI:1609137165
Name:ARC CORE PHARMACY LLC
Entity Type:Organization
Organization Name:ARC CORE PHARMACY LLC
Other - Org Name:QUICK STOP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-679-0918
Mailing Address - Street 1:198 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3708
Mailing Address - Country:US
Mailing Address - Phone:973-639-1900
Mailing Address - Fax:973-639-1901
Practice Address - Street 1:198 MARKET ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3708
Practice Address - Country:US
Practice Address - Phone:973-639-1900
Practice Address - Fax:973-639-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00702800332B00000X, 3336C0004X, 3336S0011X
NJ007028003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7254350001OtherMEDICARE NSC
NJ0444685Medicaid
NJ1598179376OtherNPI
NJ3148714OtherNCPDP
NJ7254350001Medicare NSC