Active NPI
Krutika Shah
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Upland, CA
National Provider Identifier
1669819140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH45166
- Practice address
- 1060 E Foothill Blvd
101
Upland, CA 91786-4027 - Phone
- (909) 982-1778
- Fax
- (909) 981-9418
- NPI assigned
- May 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH45166 | CA | Primary |
Addresses
Primary practice location
1060 E Foothill Blvd
101
Upland, CA 91786-4027
Mailing address
1060 E Foothill Blvd
101
Upland, CA 91786-4027
Phone (909) 982-1778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH45166 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shubh Labh Ventures Inc. | Current | Accepting new patients | |
| Shubh Labh Ventures Inc. | Current | Accepting new patients |
Locations
1060 E Foothill Blvd
Ste 101
Upland, CA 91786
Phone (909) 982-1778
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Upland, CA
- NPI 1962188086
-
- Community/Retail Pharmacy
- Upland, CA
- NPI 1629321500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1669819140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 E FOOTHILL BLVD",
"address_2": "101",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864027",
"telephone_number": "909-982-1778",
"fax_number": "909-981-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 E FOOTHILL BLVD",
"address_2": "101",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864027",
"telephone_number": "909-982-1778",
"fax_number": "909-981-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KRUTIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "RPH45166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.