Triputi Brothers LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00645800 Issued in NJ

Legal business name

TRIPUTI BROTHERS LLC

Doing business as

shopsmart food & pharmacy

Practice address

570 N Broad St Ste D
Elizabeth, NJ 07208-4301

Phone

(908) 355-2400

NPI assigned

Feb 8, 2007

Last updated

Sep 15, 2015By 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

Shan Shah, R.PH

Title

Authorized Member

Phone

(908) 355-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• shopsmart food & pharmacy Doing business as

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1710027479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N BROAD ST STE D",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072084301",
            "telephone_number": "908-355-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N BROAD ST STE D",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072084301",
            "telephone_number": "908-355-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPUTI BROTHERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "908-355-2400",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00645800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062961",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "shopsmart food & pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.