Shivaji Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHIVAJI GROUP INC

Doing business as

lake pharmacy

Practice address

5875 San Juan Ave Suit # C
Jacksonville, FL 32210

Phone

(904) 786-3005

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Mahesh L Patel

Title

Owner

Phone

(904) 786-3005

Specialties & licenses 1

Addresses

Other names 1

• lake pharmacy Doing business as

Locations

Practitioners 1

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

• Yoseph Raja

  • Pharmacist
  • Jamaica, NY
  • NPI 1720718885
  NPD

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1508164351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 SW 43RD STREET RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749554",
            "telephone_number": "904-786-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 SAN JUAN AVE SUIT # C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-786-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVAJI GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-786-3005"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lake pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Wilson Heavenly Healthcare
• Edisa Shirley, PHD, LMHC
• Kaleena Shirley, PA-C
• Steve Shirley, MD
• Tanya Rene Shirley, RDH
• Latha Shivashankar, MD
• Nanjappa Shivashankar, DDS
• Lauren Claxton Shivers, ARNP
• Margarita K Shmaraeva
• Kathryn Shmunes, M.D.

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.