Healthcare Provider Details

I. General information

NPI: 1366982001
Provider Name (Legal Business Name): YORKSHIRE DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2017
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

788 MAIN ST
HACKENSACK NJ
07601-4811
US

IV. Provider business mailing address

788 MAIN ST
HACKENSACK NJ
07601-4811
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-1999
  • Fax: 201-342-1955
Mailing address:
  • Phone: 201-342-1999
  • Fax: 201-342-1955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00636700
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0576751
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer
# 2
Identifier2168209
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: SHEFALI SHAH
Title or Position: OWNER PIC
Credential:
Phone: 201-342-1999