Provider Demographics
NPI:1194479923
Name:ENCHIME LLC
Entity type:Organization
Organization Name:ENCHIME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KALPESHKUMAR
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-600-2451
Mailing Address - Street 1:21B BRANFORD PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-2772
Mailing Address - Country:US
Mailing Address - Phone:973-600-2451
Mailing Address - Fax:973-600-2587
Practice Address - Street 1:21B BRANFORD PL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-2772
Practice Address - Country:US
Practice Address - Phone:973-600-2451
Practice Address - Fax:973-600-2587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy