Hardik Shah
Individual provider Active NPI Pharmacist · Milltown, NJ
NPI 1902305261 · NPPES record last updated Feb 1, 2018
Key facts
- NPI
- 1902305261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03424600 (NJ)
- Practice address
- 21 N Main St
Milltown, NJ 08850-1518 - Phone
- (732) 828-0800
- NPI assigned
- Feb 1, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03424600 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03424600 | NJ | Yes |
Addresses
Primary practice location
21 N Main St
Milltown, NJ 08850-1518
Mailing address
21 N Main St
Milltown, NJ 08850-1518
Phone (732) 828-0800
Other providers in Milltown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.