Individual provider Active NPI

Vijay Shelat, R.PH.

  • Community/Retail Pharmacy
  • Murrieta, CA
National Provider Identifier
1962015206
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
45111 Issued in CA
Practice address
25405 Hancock Ave
Suite #100
Murrieta, CA 92562
Phone
(951) 304-2038
Fax
(951) 304-2068
NPI assigned
Aug 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 45111 CA Primary

Addresses

Primary practice location

25405 Hancock Ave
Suite #100
Murrieta, CA 92562

Mailing address

25405 Hancock Ave
Suite #100
Murrieta, CA 92562
Phone (951) 304-2038

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
45111CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelat Enterprise Incorporated Current Accepting new patients
Shelat Enterprise Incorporated Community/Retail Pharmacy CurrentSince Aug 30, 2020 Accepting new patients

Locations

25405 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 304-2038

Organizations & group practices 2

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1962015206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25405 HANCOCK AVE",
            "address_2": "SUITE #100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-304-2038",
            "fax_number": "951-304-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25405 HANCOCK AVE",
            "address_2": "SUITE #100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-304-2038",
            "fax_number": "951-304-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELAT",
        "first_name": "VIJAY",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "45111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.