Kirti Z Shah Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

KIRTI Z SHAH INC

Practice address

1600 S Imperial Ave
Ste 12
El Centro, CA 92243-4242

Phone

(760) 353-5130

Fax

(760) 353-4556

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Kirti Shah, PHARM.D.NPI 1376673228

Title

Owner

Phone

(760) 353-5130

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• DESERT MEDICAL PHARMACY Doing business as

Practitioners 1

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

• Kirti Zaverchand Shah, PD

  • Pharmacist
  • El Centro, CA
  • NPI 1376673228
  NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1073524609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S IMPERIAL AVE",
            "address_2": "STE 12",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S IMPERIAL AVE",
            "address_2": "STE 12",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434242",
            "telephone_number": "760-353-5130",
            "fax_number": "760-353-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRTI Z SHAH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KIRTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-353-5130",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA304170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0531651",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Rose Kidwell
• Ho Jun Kim, LIC. ACU.
• Jacob Kim
• Karen Juana King, D.D.S
• Kenneth Kinnan, MD
• Kirti Z Shah Inc
• Sow Kobayashi, M.D.
• Jessica Lynette Kornegay, BCBA
• Julie Kunath, NP
• Manjusha Kurada, MD,MPH

• Pharmacy in El Centro, CA
• Providers in El Centro, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.