Shiv Pharmacy Corporation

Primary specialty

PharmacistTaxonomy code 183500000X

License

023859 Issued in NY

Legal business name

SHIV PHARMACY CORPORATION

Doing business as

Lyon Park Pharmacy

Practice address

548 Willett Ave
Port Chester, NY 10573-3130

Phone

(914) 939-1820

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Manish Patni

Title

RPH

Phone

(914) 939-5820

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lyon Park Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316968001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 WILLETT AVE",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 WILLETT AVE",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733130",
            "telephone_number": "914-939-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIV PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATNI",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "914-939-5820"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "023859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01806064",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "023589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyon Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Schonfeld, O.D.
• Jay Walter Schwarz, DDS
• Christopher Fonseca Scucato
• Premila Shah, DDS
• Valentina Shehu, PH.D.
• Kenneth J Shulman, MD
• Marie C Sicari, MD
• Linda Ruth Silberstein, M.D.
• Walter G Simmons, LCSW
• Jasjit Kaur Singh, R.PH

• Pharmacist in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Pharmacist in New York

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