Organization Active NPI

Shelton Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Shelton, CT
National Provider Identifier
1104710920
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHELTON PHARMACY INCORPORATED
Practice address
785 Bridgeport Ave Ste F
Shelton, CT 06484-4704
Phone
(203) 538-5008
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Ahmad Raza QadriNPI 1841159043
Title
Owner
Phone
(203) 538-5008

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

785 Bridgeport Ave Ste F
Shelton, CT 06484-4704

Mailing address

785 Bridgeport Ave Ste F
Shelton, CT 06484-4704
Phone (203) 538-5008

National Provider Directory

National Provider Directory

Locations

785 Bridgeport Ave
Ste F
Shelton, CT 06484
Phone (203) 538-5008

Practitioners & affiliated clinicians

Practitioners 1

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": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1104710920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 BRIDGEPORT AVE STE F",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844704",
            "telephone_number": "203-538-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 BRIDGEPORT AVE STE F",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844704",
            "telephone_number": "203-538-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "QADRI",
        "authorized_official_first_name": "AHMAD RAZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-538-5008"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.