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PAVONIA PHARMACY
NPI 1275669103
Pharmacy - Community/Retail Pharmacy in Jersey City, NJ

Active since February 26, 2007
600 PAVONIA AVE, JERSEY CITY, NJ 07306(201) 216-9666(201) 216-9283 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pavonia Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVONIA PHARMACY (NPI 1275669103) is a healthcare organization registered as a community/retail pharmacy in Jersey City, New Jersey and active in the NPI registry since February 2007. The organization lists Atul M Shah, Rph Manager, as its authorized official.

NPPES Registry Identity

NPI1275669103
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHREE KOTYARK INC
Location Address600 PAVONIA AVEJersey City, NJ 07306-2929
Mailing Address600 Pavonia AveJersey City, NJ 07306-2929 · (201) 216-9666 · Fax (201) 216-9283
Phone(201) 216-9666
Fax(201) 216-9283
Organization SubpartNo
Authorized OfficialAtul M ShahRph Manager · (201) 216-9666
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 17, 2011
✔ NPI 1275669103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
600 PAVONIA AVE, Jersey City, NJ 07306
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Other Names 1

Doing Business AsPavonia Pharmacy

Other Identifiers 2

Medicare NSC3906450001NJ
Medicaid6479201NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pavonia Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20100930016015DME · PharmacyDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Pavonia Pharmacy carries, from the Medicare DMEPOS supplier directory.

Pavonia Pharmacy

DMEPOS supplier · Jersey City, NJOperated by Shree Kotyark Inc
✔

Accepts Medicare assignment

Pavonia Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20627345
Medicare Participant SinceAugust 18, 2000
Supplier Location600 Pavonia AveJersey City, NJ 07306
Phone(201) 216-9666
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY DERDZIKOWSKI LAC
Counselor
600 PAVONIA AVE
JERSEY CITY, NJ 07306
Hudson County (732) 228-8060
HUDSON EYE PHYSICIANS & SURGEONS, LLC
Ophthalmology
600 PAVONIA AVE, 6TH FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 963-3937
DUEN S. SHIH, M.D., P.A.
Pain Medicine (Pain Medicine)
600 PAVONIA AVE
JERSEY CITY, NJ 07306
Hudson County (973) 564-8159
PAUL M STOOPACK MD
Internal Medicine (Gastroenterology)
600 PAVONIA AVE, 3RD FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 216-3065
DR. GISELA LIDIA MUNNE M.D.
Internal Medicine
600 PAVONIA AVE, SUITE D - 2ND FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 216-3040
HUDSON THERAPY, LLC
Durable Medical Equipment & Medical Supplies
600 PAVONIA AVE, 7TH FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 418-0088
PAVONIA DIAGNOSTIC IMAGING, PA
Radiology (Diagnostic Radiology)
600 PAVONIA AVE, 2ND FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 222-3225
HEART JERSEY CITY
Internal Medicine (Cardiovascular Disease)
600 PAVONIA AVE, 5TH FL
JERSEY CITY, NJ 07306
Hudson County (201) 216-3060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shree Kotyark Inc's NPI number?

The NPI number for Shree Kotyark Inc is 1275669103. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Pavonia Pharmacy.

Where is Shree Kotyark Inc located?

Shree Kotyark Inc is located at 600 Pavonia Ave, Jersey City, NJ 07306. The listed phone number is (201) 216-9666.

What is Shree Kotyark Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Shree Kotyark Inc enrolled in Medicare?

Yes. Shree Kotyark Inc is registered in the Medicare PECOS enrollment system.

When is Shree Kotyark Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Shree Kotyark Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pavonia Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Shree Kotyark Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 45 other insurers list Shree Kotyark Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shree Kotyark Inc was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.