Shambhu Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHAMBHU INC.

Practice address

232 NE 1St Ave
High Springs, FL 32643-9443

Phone

(386) 454-1586

NPI assigned

Nov 8, 2014

Organization subpart

No

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

Authorized official

Name

Varsha Chaudhari, RPHNPI 1003197047

Title

Pharmacy Manager

Phone

(407) 902-7543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Caring Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shambhu Inc.

  • Long Term Care Pharmacy
  • High Springs, FL
  • NPI 1700426970
  NPD tax ID

Locations

Practitioners 1

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

• Varsha Chaudhari

  • Pharmacist
  • Gainesville, FL
  • NPI 1003197047
  NPD Authorized official

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1689070286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 SW 82ND TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087406",
            "telephone_number": "407-902-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 NE 1ST AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326439443",
            "telephone_number": "386-454-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMBHU INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-08",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARI",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "407-902-7543",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raynyoda Jackson Med Wavier Agency LLC
• Restieri Healthcare Services, LLC
• Tracie Lynn Restieri Lucas, D.C.
• Lawrence Thomas Restieri, D.C.
• Sa Drugs LLC
• Shambhu Inc.
• Lara Shankar, APRN, CPNP-PC
• Jonelle Sheppard
• Callie Ann Smith, ARNP
• Cathy Ann Snyder, LMT

• Community/Retail Pharmacy in High Springs, FL
• Providers in High Springs, 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 Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.