NPIMap

Organization Active NPI

Kirti Z Shah Inc

  • Community/Retail Pharmacy
  • El Centro, CA
National Provider Identifier
1922441682
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51446 Issued in CA
Legal business name
KIRTI Z SHAH INC
Practice address
401 W Main St
El Centro, CA 92243-3006
Phone
(760) 592-4442
Fax
(760) 592-4652
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Kirti Shah, PDNPI 1376673228
Title
Owner / Pic
Phone
(760) 592-4442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY51446 CA Primary

Addresses

Primary practice location

401 W Main St
El Centro, CA 92243-3006

Mailing address

401 W Main St
El Centro, CA 92243-3006
Phone (760) 592-4442

Other identifiers 1

IdentifierTypeStateIssuer
2140504OtherPK

Other names 1

  • Desert Medical Pharmacy #2 Doing business as

National Provider Directory

National Provider Directory

Locations

401 W Main St
El Centro, CA 92243
Phone (760) 592-4442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1922441682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433006",
            "telephone_number": "760-592-4442",
            "fax_number": "760-592-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433006",
            "telephone_number": "760-592-4442",
            "fax_number": "760-592-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRTI Z SHAH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KIRTI",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "760-592-4442",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Medical Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.