SHREE-SHAKTI INC NPI 1912908773

NPI Information

NPI: 1912908773
Provider Name: SHREE-SHAKTI INC

Doing Business As: DEROSA PHARMACY AND HOME HEALTHCARE

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
570 BLOOMFIELD AVE
NEWARK, NJ
ZIP 07107
Phone: (973) 482-6753
Get Directions

SHREE-SHAKTI INC is a pharmacy in Newark, NJ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SHREE-SHAKTI INC NPI is 1912908773. The provider is registered as an organization entity type.
The provider Is Doing Business As Derosa Pharmacy And Home Healthcare.

The provider's business location address is:

570 BLOOMFIELD AVE
NEWARK, NJ
ZIP 07107-346
Phone: (973) 482-6753
Fax: (973) 482-0356

The provider's authorized official is Purnima Shailesh Shah .
The authorized official title is Vice President and has the following contact phone number (973) 482-6753.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies	3019705	NEW JERSEY	No
2	335E00000X	Prosthetic/Orthotic Supplier	0035360	NEW JERSEY	No
3	333600000X	Pharmacy	4332504	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0035360	MEDICAID	NEW JERSEY
2	3103239	OTHER	NEW JERSEY	NAT ASSOC BOARD PHARMACY
3	4332504	MEDICAID	NEW JERSEY
4	0399120001	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	PROVIDER NUMBER
5	3019705	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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