Shiv Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010203 Issued in GA

Legal business name

SHIV PHARMACY INC

Practice address

718 Martin Luther King Jr Blvd Ste a
Savannah, GA 31401-5570

Phone

(912) 662-0300

Fax

(912) 662-0302

NPI assigned

Dec 3, 2015

Organization subpart

No

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

Authorized official

Name

Paresh Patel

Title

Pharmacist

Phone

(912) 662-0300

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MLK Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1275908113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314015570",
            "telephone_number": "912-662-0300",
            "fax_number": "912-662-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 MARTIN LUTHER KING JR BLVD STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314015570",
            "telephone_number": "912-662-0300",
            "fax_number": "912-662-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIV PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARESH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "912-662-0300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010203",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003170361A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MLK Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard O Shields Jr., MD
• Eliza Kate Shinall, FNP-C
• Abigail Faith Shinn
• Melissa Shipes, PT
• Neeti Nikhil Shirke
• Hava Shlimak, BS, BA, BCBA
• Elbert Frank Sholar, M.D.
• Thomas Earl Shook, MD, MPH
• Chelsea Shoop, CCC-SLP
• Shannon Shorter, HIS

• Community/Retail Pharmacy in Savannah, GA
• Providers in Savannah, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.