Shreeji Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHREEJI HEALTHCARE INC

Practice address

11441 Heacock St
Moreno Valley, CA 92557-7907

Phone

(909) 360-8352

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Jinesh Patel, RPH

Title

Pharmacist in Charge

Phone

(714) 270-7432

Specialties & licenses 1

Addresses

Other names 1

• VALLEY CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1467939884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 ALTA AVE STE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862804",
            "telephone_number": "909-360-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11441 HEACOCK ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577907",
            "telephone_number": "909-360-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREEJI HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JINESH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-270-7432",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Belle Yea Ri Shin, D.O.
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• Grace Shinn
• Charli Louise Shipman, MS, CCC-SLP
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• Edward Halomoan Siahaan, MS, MBA, MFT INTERN
• Fareeha Sial
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• Imran Ahmed Siddiqi, DO
• Rachel Sier, DO

• Community/Retail Pharmacy in Moreno Valley, CA
• Providers in Moreno Valley, 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 Jul 27, 2018; 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.