Organization Active NPI

Uma Parvati LLC

  • Community/Retail Pharmacy
  • Niles, MI
National Provider Identifier
1770031874
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011020 Issued in MI
Legal business name
UMA PARVATI LLC
Doing business as
NILES WELLCARE PHARMACY
Practice address
70 E Main St
Niles, MI 49120-2200
Phone
(269) 262-4343
Fax
(269) 262-0930
NPI assigned
Sep 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Sandipkumar PatelNPI 1144472960
Title
Pharmacy in Charge
Phone
(224) 595-7209

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
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301011020 MI Primary

Addresses

Primary practice location

70 E Main St
Niles, MI 49120-2200

Mailing address

70 E Main St
Niles, MI 49120
Phone (269) 262-4343

Other identifiers 1

IdentifierTypeStateIssuer
2164243OtherPK

Other names 1

  • NILES WELLCARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170825000262 MI Part B Supplier - Mass Immunization (Roster Biller Only) 7618249657 Practice locations: Niles, MI
O20171102000983 MI DME Supplier - Pharmacy 7618249657 Practice locations: Niles, MI

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2196932Niles Wellcare Pharmacy70 E Main Street, Niles, MI 49120Certificate of waiverOct 20, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Niles Wellcare Pharmacy70 E Main St, Niles, MI 49120-2200(269) 262-4343 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 8, 2017

National Provider Directory

National Provider Directory

Locations

70 E Main St
Niles, MI 49120
Phone (269) 262-4343

Practitioners & affiliated clinicians

Practitioners 1

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": "1474070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1770031874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E MAIN ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "49120",
            "telephone_number": "269-262-4343",
            "fax_number": "269-262-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E MAIN ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202200",
            "telephone_number": "269-262-4343",
            "fax_number": "269-262-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMA PARVATI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-17",
        "last_updated": "2025-09-19",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANDIPKUMAR",
        "authorized_official_title_or_position": "PHARMACY IN CHARGE",
        "authorized_official_telephone_number": "224-595-7209"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NILES WELLCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NILES WELLCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.