Organization Active NPI

Sharda Pharmacy,Inc.

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1164630497
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054011064 Issued in IL
Legal business name
SHARDA PHARMACY,INC.
Practice address
1301 S Ashland Ave
Chicago, IL 60608-1300
Phone
(312) 666-0240
Fax
(312) 733-0765
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Mr. Ajay H Shah, RPH
Title
Pharmacist in Charge
Phone
(312) 666-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 054011064 IL Primary

Addresses

Primary practice location

1301 S Ashland Ave
Chicago, IL 60608-1300

Mailing address

1301 S Ashland Ave
Chicago, IL 60608-1300
Phone (312) 666-0240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1164630497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081300",
            "telephone_number": "312-666-0240",
            "fax_number": "312-733-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081300",
            "telephone_number": "312-666-0240",
            "fax_number": "312-733-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARDA PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "312-666-0240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "054011064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.