Shreeharidham Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHREEHARIDHAM INC

Doing business as

Amcare Pharmacy

Practice address

760 Washburn Ave Ste 1
Corona, CA 92882-3303

Phone

(951) 268-6486

NPI assigned

Oct 16, 2021

Organization subpart

No

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

Authorized official

Name

Dharmendra Vaghasiya

Title

President

Phone

(951) 268-6486

Specialties & licenses 1

Addresses

Other names 1

• AMCARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634342400000",
    "number": "1407519408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WASHBURN AVE STE 1",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823303",
            "telephone_number": "951-268-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WASHBURN AVE STE 1",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823303",
            "telephone_number": "951-268-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREEHARIDHAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-16",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A",
        "authorized_official_last_name": "VAGHASIYA",
        "authorized_official_first_name": "DHARMENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-268-6486"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Takuma Richard Shito, DPT
• Boris Valerievich Shlopov, M.D., PH.D.
• Crysany Short
• Justine Short
• Shreeharidham Inc
• Shreya Medical Group Inc
• Shri Hari RX Inc (Corona Valley Pharmacy)
• Shri Hari RX Inc (Corona Valley Pharmacy)
• Elizabeth Shtiwi
• Richard Jeffrey Shuldiner, O.D.

• Community/Retail Pharmacy in Corona, CA
• Providers in Corona, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.