Organization Active NPI

Shri Gajanan LLC.

  • Community/Retail Pharmacy
  • Kannapolis, NC
National Provider Identifier
1649784646
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHRI GAJANAN LLC.
Practice address
1509 S Cannon Blvd
Kannapolis, NC 28083-6250
Phone
(704) 298-0435
Fax
(704) 298-4951
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Casey Solana
Title
Pic/Manager
Phone
(704) 298-0435

Specialties & licenses 2

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

Addresses

Primary practice location

1509 S Cannon Blvd
Kannapolis, NC 28083-6250

Mailing address

1509 S Cannon Blvd
Kannapolis, NC 28083-6250
Phone (704) 298-0435

Other names 1

  • Hermitage Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1509 S Cannon Blvd
Kannapolis, NC 28083
Phone (704) 298-0435

Practitioners & affiliated clinicians

Practitioners 1

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": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1649784646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836250",
            "telephone_number": "704-298-0435",
            "fax_number": "704-298-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836250",
            "telephone_number": "704-298-0435",
            "fax_number": "704-298-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI GAJANAN LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2024-07-25",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "SOLANA",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PIC/MANAGER",
        "authorized_official_telephone_number": "704-298-0435"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermitage Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.