Shilpa Abhijit Bidaye, R.PH
Individual provider Active NPI Pharmacist · Dayton, NJ
NPI 1992080485 · NPPES record last updated Oct 15, 2011
Key facts
- NPI
- 1992080485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02981400 (NJ)
- Practice address
- 9 Gardenia CT
Dayton, NJ 08810-1484 - Phone
- (732) 230-3642
- NPI assigned
- Oct 15, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02981400 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02981400 | NJ | Yes |
Addresses
Primary practice location
9 Gardenia CT
Dayton, NJ 08810-1484
Mailing address
9 Gardenia Court
Dayton, NJ 08810
Phone (732) 230-3642
Other providers in Dayton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.