Active NPI
Payal Shah, PHARMD.
- Pharmacist
- Kendall Park, NJ
National Provider Identifier
1386980100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057570
- Practice address
- 27 Villanova Drive
Kendall Park, NJ 08824 - Phone
- (908) 227-9338
- NPI assigned
- Dec 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 057570 | NY | Primary |
| Pharmacist | 183500000X | 28RI03396900 | NJ |
Addresses
Primary practice location
27 Villanova Drive
Kendall Park, NJ 08824
Mailing address
27 Villanova Drive
Kendall Park, NJ 08824
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03396900 | NJ | MD | Pharmacist |
| 057570 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1386980100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 VILLANOVA DRIVE",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "08824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 VILLANOVA DRIVE",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "08824",
"telephone_number": "908-227-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PAYAL",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057570",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03396900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kendall Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.