Healthcare Provider Details

I. General information

NPI: 1114862133
Provider Name (Legal Business Name): SN PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 PALISADE AVE
UNION CITY NJ
07087-5022
US

IV. Provider business mailing address

4300 PALISADE AVE
UNION CITY NJ
07087-5022
US

V. Phone/Fax

Practice location:
  • Phone: 201-863-0631
  • Fax: 201-863-0637
Mailing address:
  • Phone: 201-863-0631
  • Fax: 201-863-0637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SUBBA NAIDU NAGELI
Title or Position: MEMBER
Credential:
Phone: 201-863-0631