Kotiyark Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00624200 Issued in NJ

Legal business name

KOTIYARK INC

Doing business as

Bayshore Homecare Pharmacy

Practice address

733 N Beers St
Holmdel, NJ 07733-1513

Phone

(732) 888-0303

Fax

(732) 888-9621

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Keyur Shah, RPH

Title

President

Phone

(732) 888-0303

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BAYSHORE HOMECARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Kotiyark Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kotiyark Inc

  dba Bayshore Homecare LTC Pharmacy

  • Long Term Care Pharmacy
  • Holmdel, NJ
  • NPI 1982431565
  NPD tax ID

Locations

Practitioners 1

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

• Nelly Fuzaylov, RPH

  • Pharmacist
  • Fort Hamilton, NY
  • NPI 1407837222
  NPD

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1689660029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST",
            "address_2": "STE L1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331513",
            "telephone_number": "732-888-0303",
            "fax_number": "732-888-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331513",
            "telephone_number": "732-888-0303",
            "fax_number": "732-888-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTIYARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KEYUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-888-0303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00624200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER OR NABP NUMB",
            "identifier": "3127289",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0907014",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYSHORE HOMECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYSHORE HOMECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Knauf, ATC
• Knok Management
• Kodiak Healthcare Inc (TU Rehab)
• Kodiak Physical Therapy LLC (Kodiak Physical Therapy)
• Sowmini Kommireddi
• Kotiyark Inc (Bayshore Homecare LTC Pharmacy)
• Catherine Patricia Kowalski, D.C.
• Elizabeth Kowalski
• Susan Elaine Kowalsky
• Meryl Ann Krasnoff, P.T.

• Pharmacy in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.