Shree Kotyark Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHREE KOTYARK INC

Practice address

600 Pavonia Ave
Jersey City, NJ 07306-2929

Phone

(201) 216-9666

Fax

(201) 216-9283

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Atul M Shah, MS RPHNPI 1619012341

Title

RPH Manager

Phone

(201) 216-9666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• pavonia pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

Medicare medical equipment & supply locations

Practitioners 1

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

• Atul M Shah

  • Pharmacist
  • Jersey City, NJ
  • NPI 1619012341
  NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1275669103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "201-216-9666",
            "fax_number": "201-216-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062929",
            "telephone_number": "201-216-9666",
            "fax_number": "201-216-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE KOTYARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ATUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RPH MANAGER",
        "authorized_official_telephone_number": "201-216-9666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6479201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pavonia pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zahava Rubin Shimshi, MD, MPH
• Michael Shin
• Pradnya Shinde
• Namrata Shitut
• Anton Shkurenka, MD
• Shree Yash Corp
• Shreeji'S Pharma Corp
• Eliza Shrestha, MD
• Jemina Shrestha
• Yogini J Shroff, M.D.

• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.