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NPI Code Detail

MEDICARE: SHREE SHAKTI INC.

MEDICARE: SHREE SHAKTI INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063097368
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHREE SHAKTI INC.
Provider Business Mailing Address
First Line : 570 BLOOMFIELD AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07107-1346
Country : US
Telephone Number : 973-482-6753
Fax Number : 973-482-0356
Provider Business Practice Location Address
First Line : 570 BLOOMFIELD AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07107-1346
Country : US
Telephone Number : 973-482-6753
Fax Number : 973-482-0356
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. PURNIMA S. SHAH
Credential : PHD, RPH
Telephone Number : 973-482-6753
Provider Enumeration Date : 03/17/2021
Last Update Date : 03/18/2021

Similar Medicare Providers

1912908773 — SHREE-SHAKTI INC
Practice Location Address:
570 BLOOMFIELD AVE
NEWARK, NJ
07107-1346
Practice Phone: 973-482-6753
Practice Fax: 973-482-0356
1396891438 — SHREE SHAKTI INC.
Practice Location Address:
570 BLOOMFIELD AVE
NEWARK, NJ
07107-1346
Practice Phone: 973-482-6753
Practice Fax: 973-482-0356
1518005115 — MR. SHAILESH B. SHAH MS, RPH
Practice Location Address:
570 BLOOMFIELD AVE
NEWARK, NJ
07107-1346
Practice Phone: 973-482-6753
Practice Fax: 973-482-0356
1699813295 — MS. PURNIMA S. SHAH RPH, PHD
Practice Location Address:
570 BLOOMFIELD AVE
NEWARK, NJ
07107-1346
Practice Phone: 973-482-6753
Practice Fax: 973-482-0356
1073725362 — MRS. RUPAL SHAH
Practice Location Address:
570 BLOOMFIELD AVE
NEWARK, NJ
07107-1346
Practice Phone: 973-482-6753
Practice Fax:
1760756159 — JAYSHREE PATEL RPH
Practice Location Address:
570 BLOOMFIELD AVE
NEWARK, NJ
07107-1346
Practice Phone: 973-482-6753
Practice Fax:

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