Shri Ganeshji Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00577200 Issued in NJ

Legal business name

SHRI GANESHJI PHARMACY, INC.

Doing business as

bergenline drugs

Practice address

5005 Bergline Ave
West New York, NJ 07093-5563

Phone

(201) 867-0615

NPI assigned

Jan 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Almanza, R.P.

Title

RP in Charge

Phone

(201) 867-0615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• bergenline drugs Doing business as

Tax ID family

Bergenline Drugs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Shri Ganeshji Pharmacy, Inc.

  dba bergenline drugs

  • Community/Retail Pharmacy
  • West New York, NJ
  • NPI 1063515328
  NPD tax ID
• Shri Ganeshji Pharmacy, Inc.

  • Long Term Care Pharmacy
  • West New York, NJ
  • NPI 1780524538
  NPD tax ID

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578542858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 BERGLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935563",
            "telephone_number": "201-867-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 BERGLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935563",
            "telephone_number": "201-867-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI GANESHJI PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALMANZA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "RP IN CHARGE",
        "authorized_official_telephone_number": "201-867-0615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00577200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8060100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bergenline drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hirna Shah
• Richa Shah
• Syed M Shah, MD
• Tsolig Shahinian, MS, RDN
• Shri Ganeshji Pharmacy, Inc. (bergenline drugs)
• Shri Ganeshji Pharmacy, Inc.
• Vicky Sillman, MSED BCBA
• Kassandra Andrea Silvestre
• Smart Eyecare LLC
• La Reina Jacinth Smith, OTR/L

• Pharmacy in West New York, NJ
• Providers in West New York, NJ by specialty
• Pharmacy 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.