Healthcare Provider Details

I. General information

NPI: 1316261415
Provider Name (Legal Business Name): NEWTON SPECIALITY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 12/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEWTON PHARMACY 67 HIGH STREET
NEWTON NJ
07860
US

IV. Provider business mailing address

171 FOREST DR
PISCATAWAY NJ
08854-2273
US

V. Phone/Fax

Practice location:
  • Phone: 973-383-0044
  • Fax: 888-845-2221
Mailing address:
  • Phone: 917-769-8014
  • Fax: 888-845-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00701800
License Number StateNJ

VIII. Authorized Official

Name: PREM KALIDINDI
Title or Position: PHARMACIST
Credential:
Phone: 917-769-8014