Shivam LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24278 Issued in FL

Legal business name

SHIVAM LLC

Doing business as

Cherry Rd pharmacy

Practice address

1280 N Military TRL
West Palm Beach, FL 33409-6015

Phone

(561) 249-1524

Fax

(561) 249-1526

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Bharat Kanani, RPH

Title

Owner

Phone

(561) 601-8680

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Cherry Rd pharmacy Doing business as

Locations

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264896000000",
    "number": "1043545064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096015",
            "telephone_number": "561-249-1524",
            "fax_number": "561-249-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096015",
            "telephone_number": "561-249-1524",
            "fax_number": "561-249-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2010-01-31",
        "status": "A",
        "authorized_official_last_name": "KANANI",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-601-8680",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24278",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001541000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1049166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Rd pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; 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.