Individual provider Active NPI

Bipin R Sheth, RPH

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1043202336
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030600 Issued in NY
Practice address
2434 Jerome Ave
C/O K & G Pharmacy, Inc.
Bronx, NY 10468-6401
Phone
(718) 220-2014
Fax
(844) 304-2611
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 030600 NY Primary

Addresses

Primary practice location

2434 Jerome Ave
C/O K & G Pharmacy, Inc.
Bronx, NY 10468-6401

Mailing address

205 Bennington Ter
Paramus, NJ 07652-1335
Phone (718) 220-2014

Other identifiers 1

IdentifierTypeStateIssuer
00806859MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
030600NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K & G Pharmacy Inc Current Accepting new patients

Locations

2434 Jerome Ave
#K
Bronx, NY 10468
Phone (718) 220-2014

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1043202336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BENNINGTON TER",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521335",
            "telephone_number": "718-220-2014",
            "fax_number": "718-220-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 JEROME AVE",
            "address_2": "C/O K & G PHARMACY, INC.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686401",
            "telephone_number": "718-220-2014",
            "fax_number": "844-304-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "BIPIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00806859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.