NPIMap

Organization Active NPI

Shriji Swami LLC

  • Specialty Pharmacy
  • Jacksonville, FL
National Provider Identifier
1104577865
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
SHRIJI SWAMI LLC
Practice address
1301 Monument Rd Ste 22
Jacksonville, FL 32225-6462
Phone
(904) 727-3434
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Mitesh R PatelNPI 1003135096
Title
Managing Member
Phone
(904) 727-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1301 Monument Rd Ste 22
Jacksonville, FL 32225-6462

Mailing address

1301 Monument Rd Ste 22
Jacksonville, FL 32225-6462
Phone (904) 727-3434

Other identifiers 1

IdentifierTypeStateIssuer
002825900MedicaidFL

Other names 1

  • Monument Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 1205142627

National Provider Directory

National Provider Directory
Tax ID family
Shriji Swami LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1104577865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MONUMENT RD STE 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256462",
            "telephone_number": "904-727-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MONUMENT RD STE 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256462",
            "telephone_number": "904-727-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIJI SWAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-727-3434"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002825900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1205142627",
            "affiliation": "N",
            "address_1": "1301 Monument Rd Ste 22",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322256462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Monument Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.