Organization Active NPI

Shri Krishna Inc

Doing business as Family Care Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1700154549
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02805 Issued in NV
Legal business name
SHRI KRISHNA INC
Doing business as
Family Care Pharmacy
Practice address
5625 S Rainbow Blvd
Ste F
Las Vegas, NV 89118-1854
Phone
(702) 457-2100
Fax
(702) 457-2122
NPI assigned
Dec 7, 2011
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Dr. Hitendra ChokshiNPI 1104591528
Title
Director of Pharmacy
Phone
(702) 457-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02805 NV Primary

Addresses

Primary practice location

5625 S Rainbow Blvd
Ste F
Las Vegas, NV 89118-1854

Mailing address

5625 S Rainbow Blvd
Ste F
Las Vegas, NV 89118-1854
Phone (702) 457-2100

Other identifiers 2

IdentifierTypeStateIssuer
1700154549MedicaidNV
PTAN 7418570001OtherNVPTAN 7418570001

Other names 1

  • FAMILY CARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241121003775 NV Part B Supplier - Pharmacy 3476862608 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5625 S Rainbow Blvd
Ste F
Las Vegas, NV 89118
Phone (702) 457-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1700154549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 S RAINBOW BLVD",
            "address_2": "STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181854",
            "telephone_number": "702-457-2100",
            "fax_number": "702-457-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 S RAINBOW BLVD",
            "address_2": "STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181854",
            "telephone_number": "702-457-2100",
            "fax_number": "702-457-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI KRISHNA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "CHOKSHI",
        "authorized_official_first_name": "HITENDRA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "702-457-2100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "02805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700154549",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN 7418570001",
            "identifier": "PTAN 7418570001",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.