Organization Active NPI

SHP Westchester LLC

Doing business as Super Health Pharmacy Westchester

  • Community/Retail Pharmacy
  • Croton on Hudson, NY
National Provider Identifier
1811524812
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHP WESTCHESTER LLC
Doing business as
Super Health Pharmacy Westchester
Practice address
2005 Albany Post Rd
Croton on Hudson, NY 10520-1532
Phone
(914) 271-0832
Fax
(914) 271-0993
NPI assigned
Mar 27, 2020
Last updated
Mar 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Mr. Parthiv Shah
Title
Managing Member
Phone
(908) 246-8013

Specialties & licenses 1

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

Addresses

Primary practice location

2005 Albany Post Rd
Croton on Hudson, NY 10520-1532

Mailing address

2005 Albany Post Rd
Croton on Hudson, NY 10520-1532
Phone (914) 271-0832

Other names 1

  • Super Health Pharmacy Westchester Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201204001440 NY DME Supplier - Pharmacy 2365853819 Practice locations: Croton on Hudson, NY
O20210125002186 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2365853819 Practice locations: Croton on Hudson, NY

National Provider Directory

National Provider Directory
Tax ID family
SHP Westchester LLC2 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.

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": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1811524812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ALBANY POST RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201532",
            "telephone_number": "914-271-0832",
            "fax_number": "914-271-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ALBANY POST RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201532",
            "telephone_number": "914-271-0832",
            "fax_number": "914-271-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHP WESTCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARTHIV",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-246-8013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Health Pharmacy Westchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.