Shri Ganeshji Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00577200 Issued in NJ

Legal business name

SHRI GANESHJI PHARMACY, INC.

Doing business as

bergenline drugs

Practice address

4923 Bergenline Ave
West New York, NJ 07093-5510

Phone

(201) 867-0615

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Michelle Tong

Title

Owner

Phone

(201) 867-0615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• bergenline drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Tax ID family

Bergenline Drugs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Shri Ganeshji Pharmacy, Inc.

  • Pharmacy
  • West New York, NJ
  • NPI 1578542858
  NPD tax ID
• Shri Ganeshji Pharmacy, Inc.

  • Long Term Care Pharmacy
  • West New York, NJ
  • NPI 1780524538
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony A. Sariol, PHARMD

  • Pharmacist
  • West New York, NJ
  • NPI 1225911035
  NPD

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1063515328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935510",
            "telephone_number": "201-867-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935510",
            "telephone_number": "201-867-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI GANESHJI PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-867-0615"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00577200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8060100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bergenline drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mehdi T. Shaari, M.D.
• Hirna Shah
• Richa Shah
• Syed M Shah, MD
• Tsolig Shahinian, MS, RDN
• Shri Ganeshji Pharmacy, Inc.
• Shri Ganeshji Pharmacy, Inc.
• Vicky Sillman, MSED BCBA
• Kassandra Andrea Silvestre
• Smart Eyecare LLC

• Community/Retail Pharmacy in West New York, NJ
• Providers in West New York, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.