Provider Demographics
NPI:1629151170
Name:PARAMEDIC & PHARMACEUTICALS, INC.
Entity Type:Organization
Organization Name:PARAMEDIC & PHARMACEUTICALS, INC.
Other - Org Name:RADIANT HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHANDRANI
Authorized Official - Suffix:
Authorized Official - Credentials:B PHARM
Authorized Official - Phone:609-655-0455
Mailing Address - Street 1:2661 US HIGHWAY 130
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3300
Mailing Address - Country:US
Mailing Address - Phone:609-655-0455
Mailing Address - Fax:609-655-5305
Practice Address - Street 1:2661 US HIGHWAY 130
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3300
Practice Address - Country:US
Practice Address - Phone:609-655-0455
Practice Address - Fax:609-655-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5002785332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8216002Medicaid
NJ1293390001Medicare NSC