Shoprite Pharmacy of Pennington

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SHOPRITE PHARMACY OF PENNINGTON

Practice address

2555 Pennington Rd
Pennington, NJ 08534-3216

Phone

(609) 737-0606

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mona Gadkari

Title

Third Party Administrator

Phone

(732) 521-8448

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962557645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085343216",
            "telephone_number": "609-737-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085343216",
            "telephone_number": "609-737-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPRITE PHARMACY OF PENNINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GADKARI",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8448"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3193062",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8177406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saumil Shah, PA-C
• Asad Kamran Shaikh, MD
• Ahmar Shakir, DO
• Sabnam Shakya, M.D.
• Michael Shelhart Sayers, MD
• Laura A Shuzman, LPC, LCADC
• Sarah Siering, LPAT, BCBA, LAPC
• Hannah Morgan Sierka
• Simon Silk, DDS
• Robert Vincent Simone, LCSW

• Pharmacy in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.