Provider Demographics
NPI:1952461196
Name:ARRK INC
Entity Type:Organization
Organization Name:ARRK INC
Other - Org Name:SKAFFS CORNER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PIC
Authorized Official - Prefix:
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKPAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-381-4144
Mailing Address - Street 1:1510 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-4029
Mailing Address - Country:US
Mailing Address - Phone:732-381-4144
Mailing Address - Fax:732-381-4166
Practice Address - Street 1:1510 MAIN ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-4029
Practice Address - Country:US
Practice Address - Phone:732-381-4144
Practice Address - Fax:732-381-4166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
NJ28RS005100003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6479308Medicaid
3136721OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1319210001Medicare NSC