Organization Active NPI

Shree Shakti Inc.

  • Durable Medical Equipment & Medical Supplies
  • Newark, NJ
National Provider Identifier
1396891438
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHREE SHAKTI INC.
Doing business as
DeRosa Pharmacy And Home HealthCare
Practice address
570 Bloomfield Ave
Newark, NJ 07107-1346
Phone
(973) 482-6753
Fax
(973) 482-0356
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Purnima Shah, PHD, RPH
Title
Owner
Phone
(973) 482-6753

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X 28RS00312200 NJ
Compounding Pharmacy 3336C0004X 28RS00312200 NJ
Specialty Pharmacy 3336S0011X 28RS00312200 NJ
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

570 Bloomfield Ave
Newark, NJ 07107-1346

Mailing address

570 Bloomfield Ave
Newark, NJ 07107-1346
Phone (973) 482-6753

Other identifiers 4

IdentifierTypeStateIssuer
0035360MedicaidNJ
3103239OtherNJNABP
3019705MedicaidNJ
4332504MedicaidNJ

Other names 1

  • DeRosa Pharmacy And Home HealthCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Derosa Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

570 Bloomfield Ave
Newark, NJ 07107
Phone (973) 482-6753

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1396891438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BLOOMFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071346",
            "telephone_number": "973-482-6753",
            "fax_number": "973-482-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BLOOMFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071346",
            "telephone_number": "973-482-6753",
            "fax_number": "973-482-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE SHAKTI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-482-6753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00312200",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RS00312200",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00312200",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035360",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3103239",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019705",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4332504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeRosa Pharmacy And Home HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.