Organization Active NPI

SB Venture LLC

  • Community/Retail Pharmacy
  • Mesa, AZ
National Provider Identifier
1720706625
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SB VENTURE LLC
Practice address
215 S Power Rd Ste 251
Mesa, AZ 85206-5238
Phone
(480) 256-2522
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Shivam Haresh BhanvadiaNPI 1699477505
Title
Member
Phone
(480) 256-2522

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 Primary

Addresses

Primary practice location

215 S Power Rd Ste 251
Mesa, AZ 85206-5238

Mailing address

3233 S McClintock Dr
Tempe, AZ 85282-5602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230206001479 AZ Part B Supplier - Pharmacy 7911379680 Practice locations: Mesa, AZ
O20240731000950 AZ DME Supplier - Pharmacy 7911379680 Practice locations: Mesa, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Doctor Pharmacy RX215 S Power Rd, Mesa, AZ 85206-5238(480) 256-2522 Blood Glucose Monitors/Supplies (Non-Mail Order)|Insulin Infusion Pumps and/or Supplies Accepts assignmentParticipating since Jan 3, 2023

National Provider Directory

National Provider Directory
Tax ID family
SB Venture LLC2 organizations share this tax ID, including this one

Locations

215 S Power Rd
Ste 251
Mesa, AZ 85206
Phone (480) 256-2522

3233 S McClintock Dr
Tempe, AZ 85282

Practitioners & affiliated clinicians

Practitioners 2

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": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1720706625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 S MCCLINTOCK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POWER RD STE 251",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065238",
            "telephone_number": "480-256-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB VENTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "BHANVADIA",
        "authorized_official_first_name": "SHIVAM",
        "authorized_official_middle_name": "HARESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-256-2522"
    },
    "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": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.