Organization Active NPI

Shri Ganesh Corporation

  • Community/Retail Pharmacy
  • Long Beach, CA
National Provider Identifier
1053426080
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY53433 Issued in CA
Legal business name
SHRI GANESH CORPORATION
Practice address
1942 E Anaheim St
Long Beach, CA 90813-3908
Phone
(562) 591-0549
Fax
(562) 591-0540
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Chirag Patel, RPHNPI 1184942427
Title
Owner, Pic
Phone
(562) 591-0549

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY53433 CA Primary

Addresses

Primary practice location

1942 E Anaheim St
Long Beach, CA 90813-3908

Mailing address

1942 E Anaheim St
Long Beach, CA 90813-3908
Phone (562) 591-0549

Other identifiers 1

IdentifierTypeStateIssuer
1053426080MedicaidCA

Other names 1

  • VERMILLIONS DRUG # 3 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210818003975 CA Part B Supplier - Pharmacy 6901219815 Practice locations: Long Beach, CA
O20211105000539 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6901219815 Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory
Tax ID family
Vermillion'S Drug 32 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.

Locations

1942 E Anaheim St
Long Beach, CA 90813
Phone (562) 591-0549

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1053426080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133908",
            "telephone_number": "562-591-0549",
            "fax_number": "562-591-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133908",
            "telephone_number": "562-591-0549",
            "fax_number": "562-591-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI GANESH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "562-591-0549",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053426080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERMILLIONS DRUG # 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.