Shalom Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02541100 Issued in NJ

Legal business name

SHALOM PHARMACY INC

Practice address

525 Elizabeth Ave
Newark, NJ 07112-2584

Phone

(973) 926-9300

Fax

(973) 926-9338

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Christie Ogun, PHARMACIST

Title

Owner

Phone

(973) 926-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477684645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ELIZABETH AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122584",
            "telephone_number": "973-926-9300",
            "fax_number": "973-926-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ELIZABETH AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122584",
            "telephone_number": "973-926-9300",
            "fax_number": "973-926-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGUN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-926-9300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02541100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038652",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna K Shaheed
• Nazia Shaheed
• Hosseinali Shahidi, M.D.
• Siraj Zakir Shaikh, MD
• Markim Shakur-Purvis
• Sham Ride
• Ethan Benjamin Shamsian, DO
• Bo Shan, DMD
• Clayona Shand, NP
• Srinidhi Shanmugasundaram

• Pharmacist in Newark, NJ
• Providers in Newark, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.