Provider Demographics
NPI:1881783645
Name:PRANAY INC
Entity type:Organization
Organization Name:PRANAY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORJANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-222-5222
Mailing Address - Street 1:550 NEWARK AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1326
Mailing Address - Country:US
Mailing Address - Phone:201-222-5222
Mailing Address - Fax:201-792-7911
Practice Address - Street 1:550 NEWARK AVE
Practice Address - Street 2:STE 101
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1326
Practice Address - Country:US
Practice Address - Phone:201-222-5222
Practice Address - Fax:201-792-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NJ28RS006786003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
3134741OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3134741OtherNCPDP PROVIDER IDENTIFICATION NUMBER