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MEDICINE MAN PHARMACY & COMPOUNDING
NPI 1598009383
Pharmacy - Community/Retail Pharmacy in Hoboken, NJ

Active since November 16, 2012CLIA 31D2194809 · Waiver
511 WASHINGTON ST, HOBOKEN, NJ 07030(201) 942-9777(201) 942-9779 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 2, 2024, Aug 31, 2016, Dec 15, 2015 and 1 more (4 updates tracked since 2015).

About Medicine Man Pharmacy & Compounding NPPES

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

MEDICINE MAN PHARMACY & COMPOUNDING (NPI 1598009383) is a healthcare organization registered as a community/retail pharmacy in Hoboken, New Jersey and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Pankit Sutaria, President, as its authorized official.

NPPES Registry Identity

NPI1598009383
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDICINE MAN RX LLC
Location Address511 WASHINGTON STHoboken, NJ 07030-4993
Mailing Address511 Washington StHoboken, NJ 07030-4993 · (201) 942-9777 · Fax (201) 942-9779
Phone(201) 942-9777
Fax(201) 942-9779
Organization SubpartNo
Authorized OfficialPankit SutariaPresident · (201) 942-9777
Enumeration DateNovember 16, 2012
Last NPPES UpdateOctober 2, 20244 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1598009383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NJ · 28RS00722900
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.
Also ListedPharmacyTaxonomy 333600000X
511 WASHINGTON ST, Hoboken, NJ 07030
Open in Google Maps ↗

Other Names 1

Doing Business AsMedicine Man Pharmacy & Compounding

Other Identifiers 2

Medicaid0383911NJ
Other2153660Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 31D2194809

Medicine Man Pharmacy & Compounding · Hoboken, NJ
Active · expires Oct 1, 2026
CLIA Number31D2194809
Laboratory TypePharmacy
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorBino Chandy
Laboratory Phone(201) 942-9777
Laboratory LocationMedicine Man Pharmacy & Compounding511 Washington St, Hoboken, NJ 07030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Medicine Man Pharmacy And Compoundi carries, from the Medicare DMEPOS supplier directory.

Medicine Man Pharmacy And Compoundi

DMEPOS supplier · Hoboken, NJOperated by Medicine Man Rx LLC
✔

Accepts Medicare assignment

Medicine Man Pharmacy And Compoundi agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20476055
Medicare Participant SinceOctober 11, 2016
Supplier Location511 Washington StHoboken, NJ 07030
Phone(201) 942-9777
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

AKTA M PATEL
Pharmacist
511 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 942-9777

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 Medicine Man Rx LLC's NPI number?

The NPI number for Medicine Man Rx LLC is 1598009383. It was assigned to this organization in the NPPES registry on November 16, 2012. The provider is doing business as Medicine Man Pharmacy & Compounding.

Where is Medicine Man Rx LLC located?

Medicine Man Rx LLC is located at 511 Washington St, Hoboken, NJ 07030. The listed phone number is (201) 942-9777.

What is Medicine Man Rx LLC's specialty?

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

Does Medicine Man Rx LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Medicine Man Pharmacy And Compoundi accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Medicine Man Rx LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2194809) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medicine Man Rx LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Medicine Man 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 Medicine Man Rx LLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.