Fourth Ave Pharmacy LLC
Fourth Ave Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Newark, NJ, holding Type 2 (organization) NPI 1225130354 since 2006. The authorized official on file is Ayush Gajera, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1225130354 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fourth Ave Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 329 ROSEVILLE AVE, Newark, NJ, 07107 |
| Phone | 9734833872 |
| Fax | 9734836956 |
| Enumeration date | 2006-09-01 |
| Last updated in NPPES | 2017-04-19 |
Authorized official
| Name | Ayush Gajera |
|---|---|
| Title | Pharmacist |
| Phone | 9734833872 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 28RS00335200 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132840 | Other | — | PK |
Copy-ready billing details
Provider: Fourth Ave Pharmacy LLC NPI: 1225130354 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 329 ROSEVILLE AVE, Newark, NJ, 07107
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649400029 | Ayush Gajera | Individual | Pharmacist | Newark, NJ |
| 1033997291 | Mohini Vakil | Individual | Pharmacist | Newark, NJ |
Verify this record
Cross-check NPI 1225130354 against the authoritative CMS record: view Fourth Ave Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Fourth Ave Pharmacy LLC?
Who is the authorized official for Fourth Ave Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-04-19.