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MONTCLAIR PHARMACY
NPI 1104862564
Pharmacy - Community/Retail Pharmacy in Upper Montclair, NJ

Active since June 22, 2006CLIA 31D2272681 · Waiver
732 VALLEY RD, UPPER MONTCLAIR, NJ 07043(973) 744-2113(973) 744-2691 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2023, Apr 30, 2021, Aug 26, 2020 and 4 more (7 updates tracked since 2017).

About Montclair Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTCLAIR PHARMACY (NPI 1104862564) is a healthcare organization registered as a community/retail pharmacy in Upper Montclair, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Hema Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1104862564
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMONTCLAIR PHARMACY RX LLC
Location Address732 VALLEY RDUpper Montclair, NJ 07043-1521
Mailing Address732 Valley RoadUpper Montclair, NJ 07043 · (973) 744-2113 · Fax (973) 744-2691
Phone(973) 744-2113
Fax(973) 744-2691
Organization SubpartNo
Authorized OfficialHema PatelOwner · (813) 304-2221
Enumeration DateJune 22, 2006
Last NPPES UpdateMay 25, 20237 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1104862564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
732 VALLEY RD, Upper Montclair, NJ 07043
Open in Google Maps ↗

Other Names 1

Doing Business AsMontclair Pharmacy

Other Identifiers 2

Other2056802Pk
Medicaid4248210NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2272681

Montclair Pharmacy Rx LLC · Upper Montclair, NJ
Active · expires Nov 27, 2026
CLIA Number31D2272681
Laboratory TypePharmacy
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorNancy Sahata
Laboratory Phone(973) 744-2113
Laboratory LocationMontclair Pharmacy Rx LLC732 Valley Road, Upper Montclair, NJ 07043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONTCLAIR PHARMACY RX LLC
Pharmacy (Long Term Care Pharmacy)
732 VALLEY RD
UPPER MONTCLAIR, NJ 07043
Essex County (972) 285-1761
STUART ROSS KEIL R. PH.
Pharmacist
732 VALLEY RD
MONTCLAIR, NJ 07043
Essex County (973) 733-2113
NANCY SHAHATA
Pharmacist
732 VALLEY RD
MONTCLAIR, NJ 07043
Essex County (973) 744-2113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montclair Pharmacy Rx LLC's NPI number?

The NPI number for Montclair Pharmacy Rx LLC is 1104862564. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Montclair Pharmacy.

Where is Montclair Pharmacy Rx LLC located?

Montclair Pharmacy Rx LLC is located at 732 Valley Rd, Upper Montclair, NJ 07043. The listed phone number is (973) 744-2113.

What is Montclair Pharmacy Rx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Montclair Pharmacy Rx LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2272681) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montclair Pharmacy Rx LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 37 other insurers list Montclair Pharmacy Rx LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montclair Pharmacy Rx LLC was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.