Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shivaji Gajanan Phadke

Individual provider Pharmacist · NPI 1972871598

Shivaji Gajanan Phadke is a Pharmacist in Bronx, New York. Practices as a sole proprietor. Licensed in New Jersey, New York and Pennsylvania.

Licensed in
NJ, NY, PA
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

113 W Kingsbridge Rd
Bronx, NY 10468-3902
Phone: (718) 432-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP441450 (PA)
Pharmacist Taxonomy 183500000X · Licence 28RI03281000 (NJ)
Pharmacist Taxonomy 183500000X · Licence 057972 (NY)

Record details

NPI number1972871598
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2011
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022

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