Derosa Pharmacy And Home Healthcare

LBN: Shree Shakti Inc.
Derosa Pharmacy And Home Healthcare is an health care organization with primary practice located at 570 Bloomfield Ave , Newark NJ 07107-1346. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Shree Shakti Inc. can be contacted via phone (973) 482-6753, or through Shah, Purnima via phone (973) 482-6753.

Contact Information

Primary practice address
570 Bloomfield Ave Newark NJ 07107-1346
Phone: (973) 482-6753
Fax: (973) 482-0356
Website:
Map and Directions
Authorized official contact:
Name: Shah, Purnima PHD, RPH
Phone: (973) 482-6753

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00312200 New Jersey
Suppliers / Compounding Pharmacy 3336C0004X 28RS00312200 New Jersey
Suppliers / Specialty Pharmacy 3336S0011X 28RS00312200 New Jersey
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1396891438
LBN Legal business name Shree Shakti Inc.
DBA Doing business as Derosa Pharmacy And Home Healthcare
Authorized official Shah, Purnima PHD, RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 28th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396891438 NPPES
New Jersey MEDICAID 0035360
New Jersey Other 3103239
New Jersey MEDICAID 3019705
New Jersey MEDICAID 4332504

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