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NPI Code Detail

MEDICARE: SHAKTI PHARMACY INC

MEDICARE: SHAKTI PHARMACY 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
13336C0003XCommunity/Retail Pharmacy026503NY

Other Identifiers

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

General Provider Information

NPI Number : 1184796468
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAKTI PHARMACY INC
Provider Business Mailing Address
First Line : 113 W KINGSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10468-3902
Country : US
Telephone Number : 718-432-3180
Fax Number : 718-432-3182
Provider Business Practice Location Address
First Line : 113 W KINGSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10468-3902
Country : US
Telephone Number : 718-432-3180
Fax Number : 718-432-3182
Authorized Official
Title or Position : SUPERVISING PHARMACIST
Name : MR. KIRTI HINGHER
Credential : R.PH
Telephone Number : 718-432-3180
Provider Enumeration Date : 11/14/2006
Last Update Date : 08/10/2023

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