Provider Demographics
NPI:1578767869
Name:PUSHKAR INTERNATIONAL INC.
Entity Type:Organization
Organization Name:PUSHKAR INTERNATIONAL INC.
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRITI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATWANI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:925-443-8088
Mailing Address - Street 1:3024 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4817
Mailing Address - Country:US
Mailing Address - Phone:925-443-8088
Mailing Address - Fax:925-443-8088
Practice Address - Street 1:3024 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4817
Practice Address - Country:US
Practice Address - Phone:925-443-8088
Practice Address - Fax:925-443-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5627229OtherNCPDP#
CAPHA486180Medicaid
CAFP0334235OtherDEA #
CAPHA486180Medicaid