Shoprx Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHOPRX PHARMACY INC.

Practice address

64 Central Ave
Passaic, NJ 07055

Phone

(973) 303-6391

NPI assigned

Jun 12, 2021

Organization subpart

No

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

Authorized official

Name

Yogeshkumar Patel

Title

Co Owner

Phone

(973) 685-4004

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1497323802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CENTRAL AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CENTRAL AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-303-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPRX PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "YOGESHKUMAR",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "973-685-4004"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840386",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PASSAIC",
            "affiliation": "N",
            "address_1": "64 Central Ave",
            "city": "Passaic",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dhara N Shihora
• Shira Freudenberger PSYD LLC
• Shon Dental Group PC
• Young Joon Shon, D.D.S.
• Shoprite Pharmacy
• Chava Mindl Shpilsky, CFY SLP
• Shree Ganesh Pharmacy LLC
• Evann T Sidoti, DC
• Thomas Joseph Sidoti, D.C.
• Steven M Siegel, PT

• Community/Retail Pharmacy in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.