Provider Demographics
NPI:1932452646
Name:READYSCRIP LLC
Entity Type:Organization
Organization Name:READYSCRIP LLC
Other - Org Name:READYSCRIP ADVANCED PHARMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GAWRYSIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-549-8895
Mailing Address - Street 1:1 KALISA WAY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3516
Mailing Address - Country:US
Mailing Address - Phone:201-549-8895
Mailing Address - Fax:201-549-8878
Practice Address - Street 1:1 KALISA WAY
Practice Address - Street 2:SUITE 104
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3516
Practice Address - Country:US
Practice Address - Phone:201-549-8895
Practice Address - Fax:201-549-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2017-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
NJ28RS007219003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2137363OtherPK