Organization Active NPI

Shiva Pharmacy

  • Community/Retail Pharmacy
  • Jamaica, NY
National Provider Identifier
1700932142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022579 Issued in NY
Legal business name
SHIVA PHARMACY
Practice address
8235 164TH St
Jamaica, NY 11432-1120
Phone
(718) 380-1261
Fax
(718) 380-1261
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mewal Das Rawlani, R.PH
Title
President
Phone
(718) 380-1261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 022579 NY Primary

Addresses

Primary practice location

8235 164TH St
Jamaica, NY 11432-1120

Mailing address

8235 164TH St
Jamaica, NY 11432-1120
Phone (718) 380-1261

Other identifiers 1

IdentifierTypeStateIssuer
01556981MedicaidNY

Other names 1

  • SHAKAR PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700932142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321120",
            "telephone_number": "718-380-1261",
            "fax_number": "718-380-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321120",
            "telephone_number": "718-380-1261",
            "fax_number": "718-380-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAWLANI",
        "authorized_official_first_name": "MEWAL",
        "authorized_official_middle_name": "DAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-380-1261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "022579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01556981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAKAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.