COLONIAL HEALTH PHARMACY (NPI# 1437184926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437184926 |
| Entity Type | Organization |
| Organization Name | COLONIAL HEALTH PHARMACY |
| Other Organization Name | COLONIAL HEALTH PHARMACY |
| Practice Address |
125 Avon Ave Newark NJ 07108-2531 |
| Practice Telephone | 9738245010 |
| Practice Fax Number | 9737990066 |
| Mailing Telephone | 9738245010 |
| Mailing Fax Number | 9737990066 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | LATCHMAN RAGHUNADAN (MANG) |
| Authorized Official Telephone | 9738245010 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00571100 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7946007 | 05 | |
| PK | 2054145 | 01 |
| Other Name | Type Code |
|---|---|
| COLONIAL HEALTH PHARMACY | Doing Business As Name - Organization |
| Street Address |
125 AVON AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07108-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818165 | Latchman Raghunandan | Pharmacist | 125 Avon Ave, Newark, NJ 07108-2531 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376129 | Star Medcare PC | Physical Medicine & Rehabilitation | 62 Elizabeth Ave., Newark, NJ 07108 | 2020-11-02 |
| 1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
| 1225579857 | Q and K Home Care Services Limited Liability Company | Community Health Worker | 191 Milford Avenue, Newark, NJ 07108 | 2017-03-15 |
| 1932646783 | Helping Hands Medical Supply | Durable Medical Equipment & Medical Supplies | 351-353 Avon Avenue, Rear Door, Newark, NJ 07108 | 2017-01-31 |
| 1366823619 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mt. Prospect Ave, Newark, NJ 07108 | 2015-06-12 |
| 1346650835 | Adeboye Adeoye Adeniran | Physical Therapy Assistant | 110 Somerset Street, Apt 3a, Newark, NJ 07108 | 2014-05-06 |
| 1952739435 | Unity Global Agency LLC | Home Health | 634 Clinton Avenue, 304, Newark, NJ 07108 | 2013-10-22 |
| 1598996704 | Best Interest Homecare | Chore Provider | 155 1/2d Avon Ave., Newark, NJ 07108 | 2009-08-05 |
| 1790840130 | Rose Garden Nutrition Inc | Pharmacy | 22 Elizabeth Ave, Suite 100, Newark, NJ 07108 | 2006-12-26 |
| 1053494187 | Colden Douglas Raines Jr. | Dentist | 603 Clinton Ave, Newark, NJ 07108 | 2006-10-23 |
| Find all providers in zip 07108 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812155 | Connie Man | Pharmacy | 6170 Thornton Ave Ste E, Newark, CA 94560-3700 | 2020-02-05 |
| 1083250773 | Newark Pharmacy LLC | Pharmacy | 635 Market St Unit 1c, Newark, NJ 07105-3618 | 2019-11-18 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1730677998 | Delaware Cvs Pharmacy LLC | Pharmacy | 604 Corner Ketch Rd, Newark, DE 19711-2901 | 2018-04-24 |
| 1376052670 | Obeng Pharmacy LLC | Pharmacy | 95 Broadway, Newark, NJ 07104-3875 | 2017-09-29 |
| 1366893851 | Nikkys Pharmacy LLC | Pharmacy | 342-344 Hawthorne Ave, Newark, NJ 07112-1688 | 2016-06-26 |
| 1437539103 | Newark Shoprite LLC | Pharmacy | 206 Springfield Ave, Newark, NJ 07103-2916 | 2015-06-08 |
| 1346658143 | Rite Aid | Pharmacy | 42 Ferry St, Newark, NJ 07105-2979 | 2014-07-25 |
| 1952721847 | St Peter Pharmacy | Pharmacy | 15-17 Ropes Pl, #106, Newark, NJ 07107-4803 | 2014-04-18 |
| 1649699042 | 709 Ace Pharmacy | Pharmacy | 709 Frelinghuysen Ave, Newark, NJ 07114-1304 | 2014-04-14 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.