Individual provider Active NPI

Juhi D Shah

  • Pharmacist
  • San Ramon, CA
National Provider Identifier
1841695897
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03662400 Issued in NJ
Practice address
490 Market PL
San Ramon, CA 94583
Phone
(925) 327-0435
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03662400 NJ Primary

Addresses

Primary practice location

490 Market PL
San Ramon, CA 94583

Mailing address

24512 Autumn Mist Way
Hayward, CA 94544-2170
Phone (678) 231-7499

Other practice location 1

546 Wrightstown Sykesville Rd
Wrightstown, NJ 08562-1527
Phone (609) 723-3176

Other identifiers 1

IdentifierTypeStateIssuer
71604OtherCACALIFORNIA PHARMACIST LICENSE

Other names 1

  • Juhi Vyas Other name

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

LicenseStateTypeSpecialty
28RI03662400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Longs Drug Store California LLC PastSince Oct 20, 2019 Accepting new patients
Rite Aid of New Jersey Inc Past Accepting new patients
Rite Aid of New Jersey Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1841695897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24512 AUTUMN MIST WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442170",
            "telephone_number": "678-231-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MARKET PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-327-0435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "546 Wrightstown Sykesville Rd",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "NJ",
            "postal_code": "085621527",
            "country_code": "US",
            "telephone_number": "609-723-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JUHI",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03662400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHARMACIST LICENSE",
            "identifier": "71604",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUHI",
            "last_name": "VYAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.