Healthcare Provider Details

I. General information

NPI: 1649652819
Provider Name (Legal Business Name): AKSHARVATIKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347E MATAWAN RD STE 13
MATAWAN NJ
07747-3926
US

IV. Provider business mailing address

347E MATAWAN RD STE 13
MATAWAN NJ
07747-3926
US

V. Phone/Fax

Practice location:
  • Phone: 732-970-5277
  • Fax: 732-970-5276
Mailing address:
  • Phone: 732-970-5277
  • Fax: 732-970-5276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00748700
License Number StateNJ

VIII. Authorized Official

Name: MICHAEL MARZELLA
Title or Position: PIC
Credential:
Phone: 732-970-5277