Shivaay 1 PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011162 Issued in MI

Legal business name

SHIVAAY 1 PLLC

Practice address

6869 S Occidental Highway
Tecumseh, MI 49286

Phone

(517) 301-4555

Fax

(517) 301-4556

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Dhiman Patel

Title

Pharmacist in Charge

Phone

(704) 807-6200

Specialties & licenses 1

Addresses

Other names 1

• tecumseh pharmacy Doing business as

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649706276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W CANFORD PARK",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "517-301-4555",
            "fax_number": "517-301-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 S OCCIDENTAL HIGHWAY",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "49286",
            "telephone_number": "517-301-4555",
            "fax_number": "517-301-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVAAY 1 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHIMAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "704-807-6200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tecumseh pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Corey Serafin, LMSW
• Joseph Jude Serafin Jr., LMSW
• Jayesh R Shah, MD
• Jason Thomas Shaw
• Dennis Norbert Shelle, MD
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• Eric P Smith, DO
• Elizabeth Jane Snelling
• Alan Herbert Snider, D.O.
• Michael John Snyder-Barker, LMSW CAAC

• Community/Retail Pharmacy in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.