Organization Active NPI

Shiv Corporation Inc

  • Long Term Care Pharmacy
  • Anaheim, CA
National Provider Identifier
1063848851
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SHIV CORPORATION INC
Doing business as
MEDCARE LTC PHARMACY
Practice address
1223 N Euclid St
Anaheim, CA 92801-1954
Phone
(714) 956-1949
Fax
(714) 956-1860
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Mr. Bhupesh D PatelNPI 1942821988
Title
President/Pic
Phone
(714) 956-1949

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
Long Term Care Pharmacy 3336L0003X CA Primary

Addresses

Primary practice location

1223 N Euclid St
Anaheim, CA 92801-1954

Mailing address

1223 N Euclid St
Anaheim, CA 92801-1954
Phone (714) 956-1949

Other names 1

  • MEDCARE LTC PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150518002021 CA DME Supplier - Pharmacy 3678893435 Practice locations: Anaheim, CA
O20260521001984 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3678893435 Practice locations: Anaheim, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medcare LTC Pharmacy1223 N Euclid St, Anaheim, CA 92801-1954(714) 956-1949 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 12, 2014

National Provider Directory

National Provider Directory

Locations

1223 N Euclid St
Anaheim, CA 92801
Phone (714) 956-1949

Practitioners & affiliated clinicians

Practitioners 2

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": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1063848851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011954",
            "telephone_number": "714-956-1949",
            "fax_number": "714-956-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011954",
            "telephone_number": "714-956-1949",
            "fax_number": "714-956-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIV CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHUPESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "714-956-1949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCARE LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.