Look up the most recent NPI and PECOS records

Mahakali J&P Inc

(<Unavail>)

Pharmacy

Suppliers

2717 Kennedy Blvd, Jersey City, NJ 07306-5712

PECOS Enrollment

Based on the most recent information from CMS, provider Mahakali J&P Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1083632772
Provider Type
Organization
Full Name
Mahakali J&P Inc
Other Name
<Unavail>

Subpart
No
Enumeration Date
7/18/2006
Last Updated
4/15/2019

Contact Information

Practice Location

2717 Kennedy Blvd, Jersey City, NJ 07306-5712

(201) 451-5388

(201) 451-3431

Mailing Location

2717 Kennedy Blvd, Jersey City, NJ 07306-5712

(201) 451-5388

(201) 451-3431

Authorized Official

Patel, Raj (President)

(201) 451-5388

Provider Taxonomies

Code	Description	License
Code 3336C0003X Primary	Description Pharmacy Suppliers	License 28RS00542700 New Jersey
Code 333600000X	Description Pharmacy Suppliers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 7304901	Description Medicaid	Issuer Unlisted New Jersey
ID 2162175	Description Other	Issuer PK

Mahakali J&P Inc

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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