Individual provider Active NPI

Inna Shafir

  • Pharmacist
  • Fair Lawn, NJ
National Provider Identifier
1194047936
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02441800 Issued in NJ
Practice address
13-38 River Rd
Fair Lawn, NJ 07410-1813
Phone
(201) 797-6888
Fax
(201) 797-5497
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02441800 NJ Primary
Pharmacist 183500000X 041543 NY

Addresses

Primary practice location

13-38 River Rd
Fair Lawn, NJ 07410-1813

Mailing address

13-38 River Rd
Fair Lawn, NJ 07410-1813
Phone (201) 797-6888

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

State licenses

LicenseStateTypeSpecialty
28RI02441800NJMDPharmacist
041543NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1194047936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-38 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101813",
            "telephone_number": "201-797-6888",
            "fax_number": "201-797-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-38 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101813",
            "telephone_number": "201-797-6888",
            "fax_number": "201-797-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIR",
        "first_name": "INNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02441800",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "041543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.