FANWOOD PHARMACY
NPI 1851740401
Pharmacy - Community/Retail Pharmacy in Fanwood, NJ

Active since June 05, 2016CLIA 31D2122084 · Waiver
45 S MARTINE AVE, FANWOOD, NJ 07023(908) 680-6936(908) 680-6937 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Jul 8, 2024, Jun 22, 2023 and 6 more (9 updates tracked since 2016).

About Fanwood Pharmacy NPPES

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

FANWOOD PHARMACY (NPI 1851740401) is a healthcare organization registered as a community/retail pharmacy in Fanwood, New Jersey and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Mitul P Patel, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1851740401
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFANWOOD RX CORP
Location Address45 S MARTINE AVEFanwood, NJ 07023-1216
Mailing Address1 Ted Light WayPiscataway, NJ 08854 · (848) 228-9655 · Fax (908) 680-6937
Fax(908) 680-6937
Organization SubpartNo
Authorized OfficialMitul P PatelPharmacist In Charge · (908) 680-6936
Enumeration DateJune 5, 2016
Last NPPES UpdateAugust 15, 20249 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1851740401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NJ · 28RS00749500
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
45 S MARTINE AVE, Fanwood, NJ 07023

Other Names 1

Doing Business AsFanwood Pharmacy

Other Identifiers 2

Medicaid0547891NJ
Other2160637Pk

Accepted 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 31D2122084

Fanwood Pharmacy · Fanwood, NJ
Active · expires Nov 17, 2026
CLIA Number31D2122084
Laboratory TypePharmacy
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorMitul P. Patel
Laboratory Phone(908) 680-6936
Laboratory LocationFanwood Pharmacy45 South Martine Ave, Fanwood, NJ 07023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
188 services185 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
163 services163 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients

Other Providers at the Same Location NPPES 2

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

Pharmacy (Long Term Care Pharmacy)
45 S MARTINE AVE
FANWOOD, NJ 07023
Pharmacist
45 S MARTINE AVE
FANWOOD, NJ 07023

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 Fanwood Rx Corp's NPI number?

The NPI number for Fanwood Rx Corp is 1851740401. It was assigned to this organization in the NPPES registry on June 5, 2016. The provider is doing business as Fanwood Pharmacy.

Where is Fanwood Rx Corp located?

Fanwood Rx Corp is located at 45 S Martine Ave, Fanwood, NJ 07023. The listed phone number is (908) 680-6936.

What is Fanwood Rx Corp's specialty?

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

Does Fanwood Rx Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2122084) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fanwood Rx Corp 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 47 other insurers list Fanwood Rx Corp 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 Fanwood Rx Corp was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.