NPI
Shivita Rx LLC
Doing business as Lacey Pharmacy and Convenience. Phone (609) 622-5507 · Fax (609) 622-5509 · NPI 1215809025
Read from the NPPES registry on October 24, 2026.
Lacey Pharmacy and Convenience pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2025-09-22
- Last updated
- 2025-09-22
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 5 Lacey Rd
- City
- Forked River NJ
- Postal code
- 08731-4238
- Phone
- (609) 622-5507
- Fax
- (609) 622-5509
Organization contact
- Name
- Ketankumar Patel
- Title
- Owner
- Phone
- (609) 622-5507
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pharmacy, Community/Retail Pharmacy providers in Forked River, NJ. 5 with this primary taxonomy in the public file.
Other NPIs in Forked River, NJ. 420 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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