Individual provider Active NPI

Nishit H Shah, PHARM. D.

  • Pharmacist
  • Edison, NJ
National Provider Identifier
1386155836
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03874500 Issued in NJ
Practice address
1700 Oak Tree Rd Ste 1
Edison, NJ 08820-2854
Phone
(732) 662-9292
Fax
(732) 662-9295
NPI assigned
Oct 23, 2017
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03874500 NJ Primary

Addresses

Primary practice location

1700 Oak Tree Rd Ste 1
Edison, NJ 08820-2854

Mailing address

22 Godwin PL
Clifton, NJ 07013-3708
Phone (973) 928-9268

Other practice location 1

22 Godwin Pl
Clifton, NJ 07013-3708
Phone (973) 928-9268

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
28RI03874500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Drugs LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1386155836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GODWIN PL",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133708",
            "telephone_number": "973-928-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 OAK TREE RD STE 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202854",
            "telephone_number": "732-662-9292",
            "fax_number": "732-662-9295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Godwin Pl",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133708",
            "country_code": "US",
            "telephone_number": "973-928-9268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NISHIT",
        "middle_name": "H",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03874500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.