Healthcare Provider Details

I. General information

NPI: 1093219529
Provider Name (Legal Business Name): ANERI HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 MAIN ST
SOUTH RIVER NJ
08882-1228
US

IV. Provider business mailing address

85 MAIN ST
SOUTH RIVER NJ
08882-1228
US

V. Phone/Fax

Practice location:
  • Phone: 732-955-6142
  • Fax: 732-955-6028
Mailing address:
  • Phone: 732-955-6142
  • Fax: 732-955-6028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00762000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RASHMITABEN PATEL
Title or Position: PHARMACIST INCHARGE
Credential:
Phone: 732-955-6142