Shree Ji Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y006743 Issued in AZ

Legal business name

SHREE JI CORPORATION

Doing business as

Stapley Pharmacy

Practice address

1245 E Southern Ave Ste 21
Mesa, AZ 85204-5156

Phone

(480) 404-9160

Fax

(480) 758-5208

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Hitesh ThakarNPI 1417287632

Title

Owner/President

Phone

(480) 404-9160

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Stapley Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Shree Ji Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shree Ji Corporation

  • Long Term Care Pharmacy
  • Mesa, AZ
  • NPI 1053123521
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hitesh Thakar, RPH

  • Pharmacist
  • Chandler, AZ
  • NPI 1417287632
  NPD Authorized official

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1265899355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E SOUTHERN AVE STE 21",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045156",
            "telephone_number": "480-404-9160",
            "fax_number": "480-758-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E SOUTHERN AVE STE 21",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045156",
            "telephone_number": "480-404-9160",
            "fax_number": "480-758-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE JI CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "THAKAR",
        "authorized_official_first_name": "HITESH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-404-9160"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y006743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108706",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stapley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zhanna F Shpitalnik, MD
• SHPS PLLC
• Eric Otto Shreder, D.O.
• Michelle Roos Shreder, RN
• Shree Ji Corporation
• Shreeve Dental LLC
• Blake G Shreeve, DMD
• Derek Shreeve
• Mekenzie Joirdan Shrestha, OTD, OTR/L
• Robert Shuch, DO

• Community/Retail Pharmacy in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.