Organization
SHREE KOTYARK INC
Active
Other names
pavonia pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ATUL M SHAH MS RPH (RPH MANAGER)
(201) 216-9666
Entity
Organization
Contact information
Practice address
600 PAVONIA AVE, JERSEY CITY, NJ 07306-2929
(201) 216-9666
(201) 216-9283
Mailing address
600 PAVONIA AVE, JERSEY CITY, NJ 07306-2929
(201) 216-9666
(201) 216-9283
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6479201
—
NJ
Enumeration date
02/26/2007
Last updated
03/17/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up