NPIMap

Organization Active NPI

Shiv Krupa Healthcare Inc

Doing business as JDX Pharmacy

  • Long Term Care Pharmacy
  • Santa Maria, CA
National Provider Identifier
1023668936
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SHIV KRUPA HEALTHCARE INC
Doing business as
JDX Pharmacy
Practice address
1504 S Broadway
Santa Maria, CA 93454-7214
Phone
(805) 922-1747
Fax
(805) 925-6499
NPI assigned
Sep 13, 2019
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Nishant Dilip Panchal, PHARM DNPI 1811588247
Title
President/Ceo
Phone
(805) 922-1747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1504 S Broadway
Santa Maria, CA 93454-7214

Mailing address

1504 S Broadway
Santa Maria, CA 93454-7214
Phone (805) 922-1747

Other identifiers 1

IdentifierTypeStateIssuer
PHY60021OtherCABOARD OF PHARMACY

Other names 1

  • JDX PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JD Healthsystems Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1023668936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547214",
            "telephone_number": "805-922-1747",
            "fax_number": "805-925-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547214",
            "telephone_number": "805-922-1747",
            "fax_number": "805-925-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIV KRUPA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "NISHANT",
        "authorized_official_middle_name": "DILIP",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-922-1747",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JDX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JDX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.