Active NPI
Jayashri J Shah, PHARM B
- Pharmacist
- Edison, NJ
National Provider Identifier
1871854976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02304700
- Practice address
- 775 Route 1
Edison, NJ 08817-4679 - Phone
- (732) 819-8573
- NPI assigned
- Jun 5, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02304700 | NJ | Primary |
Addresses
Primary practice location
775 Route 1
Edison, NJ 08817-4679
Mailing address
45 Hawthorn Dr
Plainsboro, NJ 08536-1934
Phone (609) 275-1027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9093907 | Medicaid | NJ |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02304700 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1871854976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HAWTHORN DR",
"city": "PLAINSBORO",
"state": "NJ",
"postal_code": "085361934",
"telephone_number": "609-275-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 ROUTE 1",
"city": "EDISON",
"state": "NJ",
"postal_code": "088174679",
"telephone_number": "732-819-8573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JAYASHRI",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PHARM B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02304700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9093907",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.