Organization Active NPI

Shiv Pharmacy Incorporation

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1093769176
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54011132 Issued in IL
Legal business name
SHIV PHARMACY INCORPORATION
Practice address
1608 W 69TH St
Chicago, IL 60636-3316
Phone
(773) 778-3420
NPI assigned
May 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Arun Patel
Title
President
Phone
(773) 778-3420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 54011132 IL Primary

Addresses

Primary practice location

1608 W 69TH St
Chicago, IL 60636-3316

Mailing address

1608 W 69TH St
Chicago, IL 60636-3316
Phone (773) 778-3420

Other identifiers 1

IdentifierTypeStateIssuer
1460853OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SHIV PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

1608 W 69th St
Chicago, IL 60636
Phone (773) 471-0017

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1093769176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W 69TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606363316",
            "telephone_number": "773-778-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W 69TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606363316",
            "telephone_number": "773-778-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIV PHARMACY INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-778-3420"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "54011132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1460853",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIV PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.