Provider Demographics
NPI:1689741209
Name:PARIN DRUGS INC.
Entity Type:Organization
Organization Name:PARIN DRUGS INC.
Other - Org Name:JAMESBURG DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VRAJESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-521-7777
Mailing Address - Street 1:24 W RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1362
Mailing Address - Country:US
Mailing Address - Phone:732-521-7777
Mailing Address - Fax:
Practice Address - Street 1:24 W RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:JAMESBURG
Practice Address - State:NJ
Practice Address - Zip Code:08831-1362
Practice Address - Country:US
Practice Address - Phone:732-521-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS006382003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7836309Medicaid
NJ4919300001Medicare NSC