Look up the most recent NPI and PECOS records

Shree Kotyark Inc

(<Unavail>)

Pharmacy

Suppliers

600 Pavonia Ave, Jersey City, NJ 07306-2929

PECOS Enrollment

Based on the most recent information from CMS, provider Shree Kotyark Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1275669103
Provider Type
Organization
Full Name
Shree Kotyark Inc
Other Name
<Unavail>

Subpart
No
Enumeration Date
2/26/2007
Last Updated
3/17/2011

Contact Information

Practice Location

600 Pavonia Ave, Jersey City, NJ 07306-2929

(201) 216-9666

(201) 216-9283

Mailing Location

600 Pavonia Ave, Jersey City, NJ 07306-2929

(201) 216-9666

(201) 216-9283

Authorized Official

Shah, Atul M (Rph Manager)

(201) 216-9666

Provider Taxonomies

Code	Description	License
Code 3336C0003X Primary	Description Pharmacy Suppliers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 6479201	Description Medicaid	Issuer Unlisted New Jersey

Shree Kotyark Inc

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Lee, Young J

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