Organization Active NPI

Three Rivers Pharmacy -Parvati Uma LLC

Doing business as Three Rivers Pharmacy

  • Community/Retail Pharmacy
  • Three Rivers, MI
National Provider Identifier
1689195497
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011205 Issued in MI
Legal business name
THREE RIVERS PHARMACY -PARVATI UMA LLC
Doing business as
Three Rivers Pharmacy
Practice address
757 S US Highway 131
Three Rivers, MI 49093-8830
Phone
(269) 278-6000
Fax
(269) 858-3740
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Authorized official

Name
Sunil Patel, RPHNPI 1477977106
Title
Pic
Phone
(224) 659-8062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301011205 MI Primary

Addresses

Primary practice location

757 S US Highway 131
Three Rivers, MI 49093-8830

Mailing address

7469 Brindle TRL
Kalamazoo, MI 49009-4036
Phone (224) 659-8062

Other identifiers 2

IdentifierTypeStateIssuer
2170299OtherPK
1689195497MedicaidMI

Other names 1

  • Three Rivers Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523002148 MI Part B Supplier - Mass Immunization (Roster Biller Only) 3072878941 Practice locations: Three Rivers, MI

National Provider Directory

National Provider Directory

Locations

691 S US Highway 131
Three Rivers, MI 49093
Phone (269) 278-6000

757 S US Highway 131
Three Rivers, MI 49093
Phone (224) 659-8062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762560000000",
    "number": "1689195497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7469 BRINDLE TRL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490094036",
            "telephone_number": "224-659-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 S US HIGHWAY 131",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938830",
            "telephone_number": "269-278-6000",
            "fax_number": "269-858-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS PHARMACY -PARVATI UMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "224-659-8062",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170299",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689195497",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.