Samba Shiva V V V Prasad Ganji

Primary specialty

PharmacistTaxonomy code 183500000X

License

49469 Issued in TX

Practice address

2000 Hobbs Hwy
Seminole, TX 79360-3039

Phone

(432) 758-3270

NPI assigned

Oct 31, 2020

Last updated

Oct 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Prasad S.S.V.V.V. Ganji Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores Texas LLC

  dba Walmart Pharmacy 10-0626

  • Community/Retail Pharmacy
  • Seminole, TX
  • NPI 1992722169
  NPD (past)
• Wal-Mart Stores Texas, LLC

  dba Walmart Pharmacy 10-1484

  • Community/Retail Pharmacy
  • Melissa, TX
  • NPI 1386521797
  NPD (past)

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1316547979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 SAN PEDRO DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HOBBS HWY",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603039",
            "telephone_number": "432-758-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJI",
        "first_name": "SAMBA SHIVA",
        "middle_name": "V V V PRASAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRASAD",
            "last_name": "GANJI",
            "middle_name": "S.S.V.V.V.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Luevano Enriquez
• Daniel Brian Fish, MD
• Melonie Freeman, LPN
• Wesley John Friesen, RNFA CNOR
• Gaines Care Pharmacy LLC (We Care Pharmacy)
• Tommie J'Lynn Garcia, M.S., SLP-CF
• Gilbert G Sayegh MD, PA
• GQ Chiropractic PC Corporation
• Enedina Gracia, FNP-C
• Edgar Alexander Hernandez Parra, D.M.D.

• Pharmacist in Seminole, TX
• Providers in Seminole, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.