Shivaadi Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054018936 Issued in IL

Legal business name

SHIVAADI CORPORATION

Practice address

3303 S Halsted St
Chicago, IL 60608-6877

Phone

(773) 940-2000

Fax

(773) 475-6732

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Jignasa Bhavsar

Title

Owner

Phone

(773) 940-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• BRIDGEPORT NEIGHBORHOOD PHARMACY Doing business as
• FCHC PHARMACY Doing business as

Locations

Practitioners 1

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

• Snehal K Bhavsar, RPH

  • Pharmacist
  • Chicago, IL
  • NPI 1164417291
  NPD

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1831589712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086877",
            "telephone_number": "773-940-2000",
            "fax_number": "773-475-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086877",
            "telephone_number": "773-940-2000",
            "fax_number": "773-475-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVAADI CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "BHAVSAR",
        "authorized_official_first_name": "JIGNASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-940-2000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGEPORT NEIGHBORHOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FCHC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FCHC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Lee Termolen MD SC
• Shirley S Wong M.D.S.C.
• Davida Shirley
• Kanika Shirole
• Shiv Pharmacy Incorporation
• Vidya Shivakumar, M.D.
• Fnu Shivani
• Anupama Shivaraju, M.D.
• Kavya Shivashankar, MD
• Armin Shivazad, M.D.

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.