Active NPI
Shrinathjee LLC
- Community/Retail Pharmacy
- Port Charlotte, FL
National Provider Identifier
1558740209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH29130
- Legal business name
- SHRINATHJEE LLC
- Practice address
- 1825 Tamiami TRL
Unit B-7
Port Charlotte, FL 33948-1077 - Phone
- (941) 979-5301
- Fax
- (941) 296-7800
- NPI assigned
- May 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Niraj Banjara
- Title
- Pharmacy Manager
- Phone
- (239) 297-0876
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH29130 | FL | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1825 Tamiami TRL
Unit B-7
Port Charlotte, FL 33948-1077
Mailing address
1825 Tamiami TRL
Unit B-7
Port Charlotte, FL 33948-1077
Phone (941) 979-5301
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2152226 | Other | PK | |
| 015119600 | Medicaid | FL |
Other names 1
- BEST RX PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190430002275 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911261524 | Practice locations: Port Charlotte, FL |
National Provider Directory
National Provider DirectoryLocations
1825 Tamiami Trl
Unit B7
Port Charlotte, FL 33948
Phone (941) 979-5301
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Port Charlotte, FL
- NPI 1861234122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717804800000",
"number": "1558740209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 TAMIAMI TRL",
"address_2": "UNIT B-7",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481077",
"telephone_number": "941-979-5301",
"fax_number": "941-979-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 TAMIAMI TRL",
"address_2": "UNIT B-7",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481077",
"telephone_number": "941-979-5301",
"fax_number": "941-296-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHRINATHJEE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-28",
"last_updated": "2024-06-08",
"certification_date": "2024-06-08",
"status": "A",
"authorized_official_last_name": "BANJARA",
"authorized_official_first_name": "NIRAJ",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "239-297-0876"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH29130",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2152226",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015119600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BEST RX PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.