Active NPI
Dhara D Shah, PHARMD
- Pediatric Pharmacist
- Bronx, NY
National Provider Identifier
1073106928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pharmacist
- License
- 065607
- Practice address
- 3415 Bainbridge Ave
Bronx, NY 10467-2403 - Phone
- (718) 484-5103
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03877300 | NJ | |
| Pediatric Pharmacist | 1835P0200X | 065607 | NY | Primary |
Addresses
Primary practice location
3415 Bainbridge Ave
Bronx, NY 10467-2403
Mailing address
45 Lincoln Ave
Cliffwood, NJ 07721-1111
Other practice location 1
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-2100
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03877300 | NJ | MD | Pharmacist |
| 065607 | NY | MD | Pediatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1073106928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 LINCOLN AVE",
"city": "CLIFFWOOD",
"state": "NJ",
"postal_code": "077211111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672403",
"telephone_number": "718-484-5103"
}
],
"practiceLocations": [
{
"address_1": "100 Madison Ave",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079606136",
"country_code": "US",
"telephone_number": "973-971-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "DHARA",
"middle_name": "D",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03877300",
"primary": false
},
{
"code": "1835P0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pediatrics",
"state": "NY",
"license": "065607",
"primary": true
}
],
"identifiers": [],
"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 Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.