Organization Active NPI

Shreeji RX LLC

  • Community/Retail Pharmacy
  • Union City, NJ
National Provider Identifier
1558715862
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00748600 Issued in NJ
Legal business name
SHREEJI RX LLC
Doing business as
Goodwill Pharmacy
Practice address
4313 Bergenline Ave
Union City, NJ 07087-5067
Phone
(201) 758-5159
Fax
(201) 758-5160
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Authorized official

Name
Shilpa Patel
Title
Member
Phone
(201) 758-5159

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00748600 NJ Primary

Addresses

Primary practice location

4313 Bergenline Ave
Union City, NJ 07087-5067

Mailing address

4313 Bergenline Ave
Union City, NJ 07087-5067
Phone (201) 758-5159

Other identifiers 2

IdentifierTypeStateIssuer
0538591MedicaidNJ
2159945OtherPK

Other names 1

  • Goodwill Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160623000430 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 0244521185 Practice locations: Union City, NJ
O20190814000175 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company 0244521185 Practice locations: Union City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2208230Shreeji RX LLC Dba Goodwill Pharmacy4313 Bergenline Ave, Union City, NJ 07087Certificate of waiverJan 4, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shreeji RX LLC4313 Bergenline Ave, Union City, NJ 07087-5067(201) 758-5159 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Relate… Accepts assignmentParticipating since May 13, 2016

National Provider Directory

National Provider Directory

Locations

4313 Bergenline Ave
Union City, NJ 07087
Phone (201) 758-5159

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754179200000",
    "number": "1558715862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875067",
            "telephone_number": "201-758-5159",
            "fax_number": "201-758-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875067",
            "telephone_number": "201-758-5159",
            "fax_number": "201-758-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREEJI RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-758-5159"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00748600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538591",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159945",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.