Individual provider Active NPI

Chirag Shukla, PHARMD

  • Pharmacist
  • Cherry Hill, NJ
National Provider Identifier
1386044394
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03648800 Issued in NJ
Practice address
1819 Marlton Pike W
Cherry Hill, NJ 08002-3206
Phone
(856) 662-3685
Fax
(856) 662-6074
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03648800 NJ Primary

Addresses

Primary practice location

1819 Marlton Pike W
Cherry Hill, NJ 08002-3206

Mailing address

1819 Marlton Pike W
Cherry Hill, NJ 08002-3206
Phone (856) 662-3685

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03648800NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1386044394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 MARLTON PIKE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023206",
            "telephone_number": "856-662-3685",
            "fax_number": "856-662-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 MARLTON PIKE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023206",
            "telephone_number": "856-662-3685",
            "fax_number": "856-662-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "CHIRAG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03648800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.