Organization Active NPI

Shilpa Saketh Inc

  • Community/Retail Pharmacy
  • West Islip, NY
National Provider Identifier
1184863789
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029273 Issued in NY
Legal business name
SHILPA SAKETH INC
Practice address
432 Montauk Hwy
West Islip, NY 11795-4404
Phone
(631) 482-9209
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Mr. Jijo Alex
Title
Supervising Pharmacist
Phone
(631) 482-9209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029273 NY Primary

Addresses

Primary practice location

432 Montauk Hwy
West Islip, NY 11795-4404

Mailing address

7 Oser Ave
Hauppauge, NY 11788-3811
Phone (631) 434-8333

Other names 1

  • West Islip Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120502000130 NY DME Supplier - Pharmacy 1850576554 Practice locations: West Islip, NY
O20180119002816 NY Part B Supplier - Pharmacy 1850576554 Practice locations: West Islip, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2203813West Islip Pharmacy432 Montauk Hwy, West Islip, NY 11795Certificate of waiverMar 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shilpa Saketh Inc432 Montauk Hwy, West Islip, NY 11795-4404(631) 482-9209 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory

Locations

7 Oser Ave
Hauppauge, NY 11788

1770 Motor Pkwy
Ste 105
Islandia, NY 11749
Phone (631) 582-5959

432 Montauk Hwy
West Islip, NY 11795
Phone (631) 482-9209

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1184863789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OSER AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883811",
            "telephone_number": "631-434-8333",
            "fax_number": "631-434-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954404",
            "telephone_number": "631-482-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILPA SAKETH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "ALEX",
        "authorized_official_first_name": "JIJO",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-482-9209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Islip Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.