Shiva Om LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHIVA OM LLC

Practice address

919 Tyson Ave
Philadelphia, PA 19111-4405

Phone

(215) 437-7573

Fax

(215) 613-7926

NPI assigned

Feb 15, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Shefali Shah

Title

Director

Phone

(215) 437-7573

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1033459847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-437-7573",
            "fax_number": "215-613-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114405",
            "telephone_number": "215-437-7573",
            "fax_number": "215-613-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA OM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHEFALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-437-7573",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoj Amrut Shirodkar, MD
• Monika Khanna Shirodkar, MD
• Adam Michael Shiroff, M.D.
• Ashley Somi Shirriff, MD
• Emily Shissler, PA-C
• Poojita Shivamurthy, MD
• Raina Shivashankar, MD
• Matthew Shive, LPC
• Susan Shively, M.D.
• Tariq Shivji, M.D.

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.