Healthcare Provider Details

I. General information

NPI: 1912096603
Provider Name (Legal Business Name): SHRIJI PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S 4TH AVE
MT VERNON NY
10550-3104
US

IV. Provider business mailing address

11 S 4TH AVE
MT VERNON NY
10550-3104
US

V. Phone/Fax

Practice location:
  • Phone: 914-668-9300
  • Fax: 914-668-9311
Mailing address:
  • Phone: 914-668-9300
  • Fax: 914-668-9311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number018672
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VIRENDRA PATEL
Title or Position: PRESIDENT
Credential: RPH
Phone: 914-668-9300