Active NPI
Hardi Shah
- Pharmacist
- Old Bridge, NJ
National Provider Identifier
1760932644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0622276
- Practice address
- 135 Goldmine LN
Old Bridge, NJ 08857-3325 - Phone
- (732) 881-7809
- NPI assigned
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03859200 | NJ | |
| Pharmacist | 183500000X | 0622276 | NY | Primary |
Addresses
Primary practice location
135 Goldmine LN
Old Bridge, NJ 08857-3325
Mailing address
393 Windsor Hwy
New Windsor, NY 12553-7939
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 |
|---|---|---|---|
| 28RI03859200 | NJ | MD | Pharmacist |
| 0622276 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1760932644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 WINDSOR HWY",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125537939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 GOLDMINE LN",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573325",
"telephone_number": "732-881-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "HARDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-04",
"last_updated": "2021-01-04",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03859200",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0622276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.