Provider Demographics
NPI:1184941767
Name:SHAH, NARENDRA N (RPH)
Entity type:Individual
Prefix:MR
First Name:NARENDRA
Middle Name:N
Last Name:SHAH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 COTTAGE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-2922
Mailing Address - Country:US
Mailing Address - Phone:201-766-4527
Mailing Address - Fax:
Practice Address - Street 1:44 E POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4606
Practice Address - Country:US
Practice Address - Phone:914-287-2410
Practice Address - Fax:914-287-2417
Is Sole Proprietor?:No
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330731835P0018X
NJ28RI019238001835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist