Provider Demographics
NPI:1760555999
Name:SACHIN PHARMACY INC
Entity Type:Organization
Organization Name:SACHIN PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUP PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DIPAK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-653-1200
Mailing Address - Street 1:295 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-2910
Mailing Address - Country:US
Mailing Address - Phone:201-653-1200
Mailing Address - Fax:201-653-1205
Practice Address - Street 1:295 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-2910
Practice Address - Country:US
Practice Address - Phone:201-653-1200
Practice Address - Fax:201-653-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRS005698333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7822502Medicaid
3136935Medicare UPIN
NJ7822502Medicaid