Active NPI
Kaustubh G Shukla, R PH
- Pharmacist
- Plainfield, NJ
National Provider Identifier
1174680235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02189100
- Practice address
- 603 W 4TH St
Plainfield, NJ 07060-2006 - Phone
- (908) 756-2599
- NPI assigned
- Jan 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02189100 | NJ | Primary |
Addresses
Primary practice location
603 W 4TH St
Plainfield, NJ 07060-2006
Mailing address
3 Sandra Dr
Edison, NJ 08820-1900
Other names 1
- Kaustubh G Shukla
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02189100 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plainfield Drugs Corp | Past | Accepting new patients |
Organizations & group practices 1
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": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174680235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SANDRA DR",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W 4TH ST",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070602006",
"telephone_number": "908-756-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "KAUSTUBH",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "R PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02189100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAUSTUBH",
"last_name": "SHUKLA",
"middle_name": "G",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.