Individual provider Active NPI

Padmini Persaud, PHARMD

  • Pharmacist
  • Parsippany, NJ
National Provider Identifier
1134840838
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03934200 Issued in NJ
Practice address
1236 US Highway 46
Parsippany, NJ 07054-2159
Phone
(973) 917-3850
Fax
(973) 917-3253
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03934200 NJ Primary

Addresses

Primary practice location

1236 US Highway 46
Parsippany, NJ 07054-2159

Mailing address

65 Clark St
Mine Hill, NJ 07803-3148
Phone (718) 286-9819

Other practice location 1

299 Parsippany Rd
Parsippany, NJ 07054-5176
Phone (862) 701-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03934200NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shri Lake Shore Pharmacy LLC CurrentSince Dec 3, 2023 Accepting new patients
Shri Lake Shore Pharmacy LLC CurrentSince Jan 12, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1134840838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CLARK ST",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033148",
            "telephone_number": "718-286-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542159",
            "telephone_number": "973-917-3850",
            "fax_number": "973-917-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Parsippany Rd",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070545176",
            "country_code": "US",
            "telephone_number": "862-701-5808",
            "fax_number": "862-701-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "PADMINI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03934200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.