Shambhavi Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

50001428 Issued in ME

Legal business name

SHAMBHAVI INC

Practice address

333 Main St
Calais, ME 04619-1809

Phone

(207) 454-3300

Fax

(207) 454-2268

NPI assigned

Jan 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Prabhakar Samala

Title

President

Phone

(207) 949-3655

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TREWORGY PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1013053628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046190930",
            "telephone_number": "207-454-3300",
            "fax_number": "207-454-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191809",
            "telephone_number": "207-454-3300",
            "fax_number": "207-454-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMBHAVI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "SAMALA",
        "authorized_official_first_name": "PRABHAKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-949-3655"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ME",
            "license": "50001428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TREWORGY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia J. Scott, LCPC, MHRT-CSP
• Jessica L. Scott, BHP
• Karen L Sears, RPH
• Kristin Seeley, RN
• Morgan H. Seeley, MHRT-CSP
• Jean M. Shirley, BHP
• Blaire A Siefken, FNP
• Ann P Simmons, MD
• David J Simmons, MD
• Lauren M Simpson, LCSW

• Long Term Care Pharmacy in Calais, ME
• Providers in Calais, ME by specialty
• Long Term Care Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.