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1295718443 NPI number — SHREE DEVI DRUG INC

NPI Number: 1295718443
Health Care Provider/Practitioner: SHREE DEVI DRUG INC

Information about “1295718443” NPI (SHREE DEVI DRUG INC) exists in 1295718443 in HTML format HTML  |  1295718443 in plain Text format TXT  |  1295718443 in PDF (Portable Document Format) PDF  |  1295718443 in an XML format XML  formats.

NPI Number : 1295718443 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295718443",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SHREE DEVI DRUG INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "490 E MAIN ST",
    "SecondLineMailingAddress": "102",
    "MailingAddressCityName": "DENVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07834-2484",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-627-0187",
    "MailingAddressFaxNumber": "973-586-1527",
    "FirstLinePracticeLocationAddress": "490 E MAIN ST # 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVILLE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07834-2484",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-627-0187",
    "PracticeLocationAddressFaxNumber": "973-586-1527",
    "EnumerationDate": "11/22/2005",
    "LastUpdateDate": "06/25/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DESAI",
    "AuthorizedOfficialFirstName": "MINESH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "973-627-0187",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "28RS00628200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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