Active NPI
Shree-Shakti Inc
- Pharmacy
- Newark, NJ
National Provider Identifier
1912908773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 4332504
- Legal business name
- SHREE-SHAKTI INC
- Practice address
- 570 Bloomfield Ave
Newark, NJ 07107-1346 - Phone
- (973) 482-6753
- Fax
- (973) 482-0356
- NPI assigned
- Aug 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Purnima Shailesh Shah, PHD, RPH
- Title
- Owner
- Phone
- (973) 482-6753
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3019705 | NJ | |
| Pharmacy | 333600000X | 4332504 | NJ | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 0035360 | NJ |
Addresses
Primary practice location
570 Bloomfield Ave
Newark, NJ 07107-1346
Mailing address
570 Bloomfield Ave
Newark, NJ 07107-1346
Phone (973) 482-6753
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035360 | Medicaid | NJ | |
| 3019705 | Medicaid | NJ | |
| 3103239 | Other | NJ | NAT ASSOC BOARD PHARMACY |
| 4332504 | Medicaid | NJ |
Other names 1
- DeRosa Pharmacy And Home HealthCare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930089542 | NJ | DME Supplier - Pharmacy | 3577681089 | Practice locations: Newark, NJ |
| O20111128000044 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577681089 | Practice locations: Newark, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Derosa Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Newark, NJ
- NPI 1063097368
-
- Durable Medical Equipment & Medical Supplies
- Newark, NJ
- NPI 1396891438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751328000000",
"number": "1912908773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 BLOOMFIELD AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071071346",
"telephone_number": "973-482-6753",
"fax_number": "973-482-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 BLOOMFIELD AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071071346",
"telephone_number": "973-482-6753",
"fax_number": "973-482-0356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHREE-SHAKTI INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "PURNIMA",
"authorized_official_middle_name": "SHAILESH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-482-6753",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "3019705",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "4332504",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NJ",
"license": "0035360",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035360",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3019705",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAT ASSOC BOARD PHARMACY",
"identifier": "3103239",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4332504",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DeRosa Pharmacy And Home HealthCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.