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Fourth Ave Pharmacy LLC

Community/Retail Pharmacy in Newark, NJ · enumerated 2006 · authorized official Ayush Gajera, Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225130354

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Fourth Ave Pharmacy LLC
Other name <Unavail>
Practice address 329 Roseville Ave, Newark, NJ, 07107
Fax (973) 483-6956
Enumeration date Sep 1, 2006
Last updated in NPPES Apr 19, 2017

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 28RS00335200 (NJ) Primary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Ayush Gajera
Title Pharmacist

Other identifiers

Identifier Type State Issuer
2132840 Other - PK

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.

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Frequently asked questions

What is the NPI number for Fourth Ave Pharmacy LLC?
The NPI for Fourth Ave Pharmacy LLC is 1225130354, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fourth Ave Pharmacy LLC?
NPPES lists Ayush Gajera (Pharmacist) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-19.