Provider Demographics
NPI:1831247030
Name:OHM RX INC
Entity type:Organization
Organization Name:OHM RX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARENDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-222-1440
Mailing Address - Street 1:976 INMAN AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1181
Mailing Address - Country:US
Mailing Address - Phone:908-222-1440
Mailing Address - Fax:908-222-3417
Practice Address - Street 1:976 INMAN AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1181
Practice Address - Country:US
Practice Address - Phone:908-222-1440
Practice Address - Fax:908-222-3417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00621900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0005177Medicaid
NJ0005177Medicaid