Organization Active NPI

Nidhu LLC

  • Community/Retail Pharmacy
  • Belvidere, NJ
National Provider Identifier
1992392021
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NIDHU LLC
Practice address
10 Market St
Belvidere, NJ 07823-1444
Phone
(908) 475-1421
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Mr. Jainen Shah, RPHNPI 1407032147
Title
RPH
Phone
(908) 475-1421

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 1

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

Addresses

Primary practice location

10 Market St
Belvidere, NJ 07823-1444

Mailing address

10 Market St
Belvidere, NJ 07823-1444
Phone (908) 475-1421

Other names 1

  • Market street pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025001201 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4981013547 Practice locations: Belvidere, NJ

National Provider Directory

National Provider Directory

Locations

10 Market St
Belvidere, NJ 07823
Phone (908) 475-1421

Practitioners & affiliated clinicians

Practitioners 2

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": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1992392021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARKET ST",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078231444",
            "telephone_number": "908-475-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARKET ST",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078231444",
            "telephone_number": "908-475-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDHU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAINEN",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "908-475-1421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market street pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belvidere, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.