Active NPI
Hema Shaddarshanam
- Pharmacist
- Ridgefield Park, NJ
National Provider Identifier
1194358945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03106700
- Practice address
- 2 Bergen Tpke
Ridgefield Park, NJ 07660-2340 - Phone
- (908) 241-6337
- Fax
- (908) 241-6338
- NPI assigned
- Feb 20, 2020
- Sex
- Female
- 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 | 28RI03106700 | NJ | Primary |
Addresses
Primary practice location
2 Bergen Tpke
Ridgefield Park, NJ 07660-2340
Mailing address
2 Bergen Tpke
Ridgefield Park, NJ 07660-2340
Phone (908) 241-6337
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03106700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1194358945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BERGEN TPKE",
"city": "RIDGEFIELD PARK",
"state": "NJ",
"postal_code": "076602340",
"telephone_number": "908-241-6337",
"fax_number": "908-241-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BERGEN TPKE",
"city": "RIDGEFIELD PARK",
"state": "NJ",
"postal_code": "076602340",
"telephone_number": "908-241-6337",
"fax_number": "908-241-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHADDARSHANAM",
"first_name": "HEMA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03106700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.