Organization Active NPI

Kotiyark Inc

  • Long Term Care Pharmacy
  • Holmdel, NJ
National Provider Identifier
1982431565
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KOTIYARK INC
Doing business as
Bayshore Homecare LTC Pharmacy
Practice address
733 N Beers St Ste L1
Holmdel, NJ 07733-1513
Phone
(732) 888-0303
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mr. Keyur Shah, RPH
Title
Owner
Phone
(732) 888-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

733 N Beers St Ste L1
Holmdel, NJ 07733-1513

Mailing address

733 N Beers St Ste L1
Holmdel, NJ 07733-1513
Phone (732) 888-0303

Other names 1

  • Bayshore Homecare LTC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kotiyark Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1982431565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST STE L1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331513",
            "telephone_number": "732-888-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST STE L1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331513",
            "telephone_number": "732-888-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTIYARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KEYUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-888-0303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Homecare LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.