Shayanam LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHAYANAM LLC

Doing business as

Lyons Pharmacy

Practice address

471 Lyons Ave #79
Irvington, NJ 07111

Phone

(973) 926-6496

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Pragnesh PatelNPI 1295286193

Title

Pharmacist

Phone

(973) 926-6496

Specialties & licenses 2

Addresses

Other names 1

• Lyons Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Pragnesh Patel, PHARM D

  • Pharmacist
  • Watchung, NJ
  • NPI 1295286193
  NPD Authorized official
• Eunmi Kim

  • Pharmacist
  • Irvington, NJ
  • NPI 1346966397
  NPD
• Pratik Patel

  • Pharmacist
  • Piscataway, NJ
  • NPI 1508103607
  NPD

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1073150116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 LYONS AVE #79",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-926-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 LYONS AVE #79",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-926-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYANAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAGNESH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "973-926-6496"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyons Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maimuna P Shaikh
• Ilone Cosetta Shannon
• John Han Shao, MD
• Abhishek Sharma, D.D.S
• Stacy A Sharpe
• Shelleys Way (Shelleys Way, LLC)
• Shelton Oral Surgery & Implant Center, PC
• Ein Yuan Alan Shen, MD
• Nakia Showers
• Lisa Silas, CPRS

• Community/Retail Pharmacy in Irvington, NJ
• Providers in Irvington, 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 Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.