Active NPI
Shree Pharmacy LLC
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1104980952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SHREE PHARMACY LLC
- Practice address
- 5604 N Broad St
Philadelphia, PA 19141-2306 - Phone
- (215) 927-0224
- Fax
- (215) 927-0813
- NPI assigned
- Dec 19, 2006
- Organization subpart
- Yes
- Parent organization
- SHREE PHARMACY, LLC DBA DELCO PH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darshan Parekh, PHARMD RPH
- Title
- Owner/Pharmacist in Charge
- Phone
- (215) 284-4790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5604 N Broad St
Philadelphia, PA 19141-2306
Mailing address
5604 N Broad St
Pharmacy
Philadelphia, PA 19141-2306
Phone (215) 927-0224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001057115 | Medicaid | PA |
Other names 1
- DELCO Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240605000300 | PA | Part B Supplier - Pharmacy | 6709328834 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Shree Pharmacy LLC
- Part of
- Shree Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1417731209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1104980952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 N BROAD ST",
"address_2": "PHARMACY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191412306",
"telephone_number": "215-927-0224",
"fax_number": "215-927-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191412306",
"telephone_number": "215-927-0224",
"fax_number": "215-927-0813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHREE PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHREE PHARMACY, LLC DBA DELCO PH",
"enumeration_date": "2006-12-19",
"last_updated": "2024-02-23",
"status": "A",
"authorized_official_last_name": "PAREKH",
"authorized_official_first_name": "DARSHAN",
"authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "215-284-4790",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001057115",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DELCO Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.