Siya Shiv Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SIYA SHIV PHARMACY LLC

Doing business as

CAPITAL AVE PHARMACY

Practice address

629 Capital Ave SW
Battle Creek, MI 49015-2676

Phone

(269) 719-6165

NPI assigned

Jul 28, 2019

Organization subpart

No

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

Authorized official

Name

Jignesh PatelNPI 1487057139

Title

Member

Phone

(269) 339-0121

Specialties & licenses 1

Addresses

Other names 1

• CAPITAL AVE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jignesh Patel

  • Pharmacist
  • Battle Creek, MI
  • NPI 1487057139
  NPD Authorized official

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1821642992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152676",
            "telephone_number": "269-339-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490152676",
            "telephone_number": "269-719-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIYA SHIV PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-28",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-339-0121"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPITAL AVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAPITAL AVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandeep Singh
• Andre Milton Singleton, D.D.S.
• Alexis Siple, PSYD
• Abby Sirovica, DC
• Suceil Sivsammye, MD
• Melody Sjoren
• Jay Skaggs
• Katherine Skinner
• Kayla King Slatton, DDS
• Cynthia Suanne Slumkoski

• Community/Retail Pharmacy in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.