South Orange Healthcare Co
Pharmacy, Community/Retail Pharmacy in South Orange, NJ. Organization (NPI-2).
Details
- NPI
- 1104770650
- Entity type
- Organization (NPI-2)
- Legal business name
- South Orange Healthcare Co
- Organization subpart
- No
- Enumeration date
- Feb 23, 2026
- Certification date
- Feb 23, 2026
- Last updated
- Feb 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
73 S Orange AveSouth Orange, NJ 07079-1715
Phone 973-821-5414 · Fax 973-275-5220
Mailing address
73 S Orange AveSouth Orange, NJ 07079-1715
Phone 973-821-5414 · Fax 973-275-5220
Authorized official
Ali Mujahid
Owner/President
9738215414
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in South Orange, NJ
- South Orange Pharmacy LLCNPI 1861643561
- The Stop & Shop Supermarket Company LLCNPI 1720456478
- Tucker Drugs INCNPI 1598206872
- William R Calabrese INCNPI 1659415313
All 5 Community/Retail Pharmacy providers in South Orange · All 442 providers in South Orange
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