Provider Demographics
NPI:1366714438
Name:SHAH, ANOKHI (PHARMD)
Entity type:Individual
Prefix:
First Name:ANOKHI
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LONGBOW TER
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-3434
Mailing Address - Country:US
Mailing Address - Phone:908-392-6735
Mailing Address - Fax:
Practice Address - Street 1:1 LONGBOW TER
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-3434
Practice Address - Country:US
Practice Address - Phone:908-392-6735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445914183500000X
NJ28RI03458700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist