Individual provider Active NPI

Denish B Shah, RPH

  • Pharmacist
  • Ewing, NJ
National Provider Identifier
1053689919
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02832800 Issued in NJ
Practice address
1618 N Olden Avenue Ext
Ewing, NJ 08638-3206
Phone
(609) 588-3830
NPI assigned
Dec 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056371-1 NY
Pharmacist 183500000X 28RI02832800 NJ Primary

Addresses

Primary practice location

1618 N Olden Avenue Ext
Ewing, NJ 08638-3206

Mailing address

1 Colonial CT
Monroe Township, NJ 08831-5131
Phone (973) 460-1365

Other practice location 1

428 Hartford Dr
Nutley, NJ 07110-3940
Phone (973) 460-1365

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
28RI02832800NJMDPharmacist
056371-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1053689919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLONIAL CT",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315131",
            "telephone_number": "973-460-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 N OLDEN AVENUE EXT",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383206",
            "telephone_number": "609-588-3830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Hartford Dr",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071103940",
            "country_code": "US",
            "telephone_number": "973-460-1365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DENISH",
        "middle_name": "B",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056371-1",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02832800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.