Shreenathji, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004269 Issued in VA

Legal business name

SHREENATHJI, LLC

Practice address

8100 Ashton Ave
Suite #104
Manassas, VA 20109-5622

Phone

(703) 530-9480

Fax

(703) 530-9482

NPI assigned

Jan 27, 2009

Organization subpart

No

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

Authorized official

Name

Mahesh Tickley

Title

Pic

Phone

(571) 335-7213

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Global Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1417195686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE",
            "address_2": "SUITE #104",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095622",
            "telephone_number": "703-530-9480",
            "fax_number": "703-530-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE",
            "address_2": "SUITE #104",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095622",
            "telephone_number": "703-530-9480",
            "fax_number": "703-530-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREENATHJI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "TICKLEY",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "571-335-7213"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004269",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4841335",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Joan Shiei, PA-C
• Takara Shinard
• Atinuke Shoaga, MD
• Suanne Shocket, PSY.D.
• Katherine Sholl
• Kritika Shrestha
• Sushma Shrestha
• Dorcas A. Shurberg, LCSW
• Jonathan L Shurberg, MD
• Honorine Shuri

• Community/Retail Pharmacy in Manassas, VA
• Providers in Manassas, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.