Active NPI
Anuj P Shukla, M.S.
- Pharmacist
- Holtville, CA
National Provider Identifier
1457659799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18099
- Practice address
- 102 W 5TH St
Holtville, CA 92250-1214 - Phone
- (760) 356-2826
- Fax
- (760) 356-3534
- NPI assigned
- Mar 10, 2011
- Last updated
- Nov 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18099 | NC | Primary |
Addresses
Primary practice location
102 W 5TH St
Holtville, CA 92250-1214
Mailing address
3012 E 10TH St
Greenville, NC 27858-4118
Phone (252) 752-8500
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18099 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkers Pharmacy Inc | Current | Accepting new patients | |
| Parkers Pharmacy Inc | Current | Accepting new patients |
Locations
102 W 5th St
Holtville, CA 92250
Phone (760) 356-2826
Organizations & group practices 2
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": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1457659799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 E 10TH ST",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278584118",
"telephone_number": "252-752-8500",
"fax_number": "252-752-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W 5TH ST",
"city": "HOLTVILLE",
"state": "CA",
"postal_code": "922501214",
"telephone_number": "760-356-2826",
"fax_number": "760-356-3534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "ANUJ",
"middle_name": "P",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-10",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holtville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.