Organization Active NPI

Shakti Drugs

Doing business as Max Discount Pharmacy

  • Community/Retail Pharmacy
  • Chattanooga, TN
National Provider Identifier
1740723840
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000005898 Issued in TN
Legal business name
SHAKTI DRUGS
Doing business as
Max Discount Pharmacy
Practice address
4531 Highway 58 Ste 105
Chattanooga, TN 37416-3010
Phone
(423) 803-5990
Fax
(423) 803-5991
NPI assigned
Nov 22, 2016
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Chirag PatelNPI 1255870234
Title
Manager
Phone
(423) 803-5990

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000005898 TN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4531 Highway 58 Ste 105
Chattanooga, TN 37416-3010

Mailing address

4531 Highway 58 Ste 105
Chattanooga, TN 37416-3010
Phone (423) 803-5990

Other identifiers 2

IdentifierTypeStateIssuer
Q036679MedicaidTN
2166377OtherPK

Other names 1

  • Max Discount Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210219000376 TN Part B Supplier - Mass Immunization (Roster Biller Only) 1951716273 Practice locations: Chattanooga, TN
O20220607000956 TN Part B Supplier - Independent Clinical Laboratory 1951716273 Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

4531 Highway 58
Ste 105
Chattanooga, TN 37416
Phone (423) 803-5990

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1740723840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 HIGHWAY 58 STE 105",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163010",
            "telephone_number": "423-803-5990",
            "fax_number": "423-803-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 HIGHWAY 58 STE 105",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163010",
            "telephone_number": "423-803-5990",
            "fax_number": "423-803-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKTI DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-803-5990"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000005898",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036679",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166377",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Max Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Max Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.