MEDICARE: SHRIJI 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy	018672	NY
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3384372	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912096603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHRIJI PHARMACY INC

Provider Business Mailing Address
First Line	:	11 S 4TH AVE
Second Line	:
City	:	MT VERNON
State	:	NY
Zip	:	10550-3104
Country	:	US
Telephone Number	:	914-668-9300
Fax Number	:	914-668-9311

Provider Business Practice Location Address
First Line	:	11 S 4TH AVE
Second Line	:
City	:	MT VERNON
State	:	NY
Zip	:	10550-3104
Country	:	US
Telephone Number	:	914-668-9300
Fax Number	:	914-668-9311

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VIRENDRA PATEL
Credential	:	RPH
Telephone Number	:	914-668-9300

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	02/05/2008

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Directions to “SHRIJI PHARMACY INC ” Practice Location

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