Shreenathji, LLC
Shreenathji, LLC is a healthcare organization registered as Community/Retail Pharmacy in Manassas, VA, holding Type 2 (organization) NPI 1417195686 since 2009. The authorized official on file is Mahesh Tickley, Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417195686 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shreenathji, LLC |
| Other name | <Unavail> |
| Practice address | 8100 ASHTON AVE, SUITE #104, Manassas, VA, 20109 |
| Phone | 7035309480 |
| Fax | 7035309482 |
| Enumeration date | 2009-01-27 |
| Last updated in NPPES | 2010-04-29 |
Authorized official
| Name | Mahesh Tickley |
|---|---|
| Title | Pic |
| Phone | 5713357213 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 0201004269 | VA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4841335 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Shreenathji, LLC NPI: 1417195686 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 8100 ASHTON AVE, SUITE #104, Manassas, VA, 20109
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609875434 | Balbir Sidhu | Individual | Cardiovascular Disease Physician | Manassas, VA |
| 1689668972 | Sarah Baxter | Individual | Family Nurse Practitioner | Manassas, VA |
| 1467446740 | Philip Peacock | Individual | Family Medicine Physician | Manassas, VA |
| 1831183144 | Michelle Aronhime | Individual | Family Medicine Physician | Manassas, VA |
| 1417942921 | Kimberly Manning | Individual | Family Nurse Practitioner | Manassas, VA |
| 1730175209 | Susan Fitzgerald | Individual | Family Medicine Physician | Manassas, VA |
| 1285612887 | Mohamed Mardini | Individual | Pediatric Cardiology Physician | Manassas, VA |
| 1326005315 | Aman Gill | Individual | Family Medicine Physician | Manassas, VA |
Verify this record
Cross-check NPI 1417195686 against the authoritative CMS record: view Shreenathji, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Shreenathji, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-04-29.