Organization Active NPI

Shivshakti RX LLC.

  • Community/Retail Pharmacy
  • Bronx, NY
National Provider Identifier
1386989036
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031897 Issued in NY
Legal business name
SHIVSHAKTI RX LLC.
Practice address
2200 Grand Concourse
Bronx, NY 10457-2029
Phone
(718) 220-2748
Fax
(718) 220-2749
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Sanjay Trivedi
Title
Member
Phone
(718) 220-2748

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 031897 NY Primary

Addresses

Primary practice location

2200 Grand Concourse
Bronx, NY 10457-2029

Mailing address

2200 Grand Concourse
Bronx, NY 10457
Phone (718) 220-2748

Other identifiers 1

IdentifierTypeStateIssuer
2140427OtherPK

Other names 1

  • Shivshakti RX llc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130918000575 NY DME Supplier - Pharmacy 3779727417 Practice locations: Bronx, NY
O20250730003661 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3779727417 Practice locations: Bronx, NY
O20260320002087 NY Part B Supplier - Pharmacy 3779727417 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shivshakti RX LLC2200 Grand Concourse, Bronx, NY 10457-2029(718) 220-2748 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 17, 2013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1386989036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-220-2748",
            "fax_number": "718-220-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572029",
            "telephone_number": "718-220-2748",
            "fax_number": "718-220-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVSHAKTI RX LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-220-2748"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140427",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shivshakti RX llc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.