Healthcare Provider Details

I. General information

NPI: 1922946284
Provider Name (Legal Business Name): ROYAL APOTHECARY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CENTRAL AVE
NEWARK NJ
07102-1909
US

IV. Provider business mailing address

111 CENTRAL AVE
NEWARK NJ
07102-1909
US

V. Phone/Fax

Practice location:
  • Phone: 973-877-5174
  • Fax: 855-205-4531
Mailing address:
  • Phone: 973-877-5174
  • Fax: 855-205-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PURVI SHAH
Title or Position: OWNER
Credential:
Phone: 973-877-5174