Shiva LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHIVA LLC

Practice address

354 Chardonnay Ave Ste 5
Prosser, WA 99350-9545

Phone

(509) 788-0123

Fax

(509) 788-0124

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Umesh Gajjala

Title

Owner/Member

Phone

(509) 631-1453

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PROSSER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Tax ID family

Prosser Pharmacy2 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.

• Shiva LLC

  • Long Term Care Pharmacy
  • Prosser, WA
  • NPI 1447034079
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Quickrx LLC

  • Pharmacist
  • Brewster, WA
  • NPI 1093880908

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1073170296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 CHARDONNAY AVE STE 5",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993509545",
            "telephone_number": "509-788-0123",
            "fax_number": "509-788-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 CHARDONNAY AVE STE 5",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993509545",
            "telephone_number": "509-788-0123",
            "fax_number": "509-788-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "GAJJALA",
        "authorized_official_first_name": "UMESH",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "509-631-1453"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130629",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROSSER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROSSER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jorge Sanchez
• Susana C Sandoval
• Paul Ernest Schreiber, M.D.
• Daniel Joe Scott, RPH
• Cameron Seidel, OD
• Shiva LLC
• Claire Shoemaker
• Amy Shook, CRNFA
• Shopko Stores Operating Co., LLC
• Barbara A Shultz, OTR

• All providers in Prosser, WA
• Community/Retail Pharmacy in Washington

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