Shrine Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHRINE PHARMACY INC

Doing business as

Park health pharmacy

Practice address

13124 Rockaway Blvd
Jamaica, NY 11420-2932

Phone

(718) 413-8830

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Preetha VargheseNPI 1417403155

Title

Owner

Phone

(718) 413-8830

Specialties & licenses 1

Addresses

Other names 1

• Park health pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• Preetha Varghese

  • Pharmacist
  • New Hyde Park, NY
  • NPI 1417403155
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1821724055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13124 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114202932",
            "telephone_number": "718-322-3261",
            "fax_number": "718-322-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13124 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114202932",
            "telephone_number": "718-413-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "PREETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-413-8830",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park health pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Halle Shokrian, PHARM D
• Mazal Sholomov, MSSPED
• Lauren Beth Shore, LMSW
• Talya Shoshani
• Afolashade Afolake Shoyebo, FNP-BC
• Brittany Shropshire
• Ayushi Shukla
• Hemangi Prabodh Shukla, D.O.
• Zephyrine Shuler
• Jaclyn Shurman

• Community/Retail Pharmacy in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.