Healthcare Provider Details

I. General information

NPI: 1598082497
Provider Name (Legal Business Name): BHUMIKA SHAH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2010
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HOPELAND ST
DRACUT MA
01826-4524
US

IV. Provider business mailing address

5 HOPELAND ST
DRACUT MA
01826-4524
US

V. Phone/Fax

Practice location:
  • Phone: 732-328-9393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH25232
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03106800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: