Organization Active NPI

Gokulesh LLC

  • Long Term Care Pharmacy
  • Woodbridge, VA
National Provider Identifier
1376410639
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GOKULESH LLC
Practice address
14011 Worth Ave # 120
Woodbridge, VA 22192-4123
Phone
(703) 686-4505
Fax
(703) 686-4502
NPI assigned
Oct 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Amit Shah, RPH
Title
Pic
Phone
(703) 200-2945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

14011 Worth Ave # 120
Woodbridge, VA 22192-4123

Mailing address

14011 Worth Ave # 120
Woodbridge, VA 22192-4123
Phone (703) 686-4505

Other names 1

  • Shriji Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gokulesh LLC2 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.

Locations

14011 Worth Ave
#120
Woodbridge, VA 22192
Phone (703) 686-4505

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1376410639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 WORTH AVE # 120",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924123",
            "telephone_number": "703-686-4505",
            "fax_number": "703-686-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 WORTH AVE # 120",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924123",
            "telephone_number": "703-686-4505",
            "fax_number": "703-686-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOKULESH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "703-200-2945",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shriji Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.