Shree Ghanshyam Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHREE GHANSHYAM INC

Practice address

1675 N Perris Blvd Ste A10
Perris, CA 92571-4724

Phone

(951) 221-5411

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Sandip PatelNPI 1215347307

Title

Owner

Phone

(951) 221-5411

Specialties & licenses 1

Addresses

Other names 1

• SMART CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Sandip Patel, PHARM D (PHARMACIST)

  • Pharmacist
  • Yucca Valley, CA
  • NPI 1215347307
  NPD Authorized official
• Anny Huynh

  • Pharmacist
  • Gilroy, CA
  • NPI 1841956810
  NPD

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1831731983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N PERRIS BLVD STE A10",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N PERRIS BLVD STE A10",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714724",
            "telephone_number": "951-221-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE GHANSHYAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-221-5411"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amit Shah, PA-C
• Nida Shakil, DDS
• Michelle Sheldon
• Anthony Cedric Shields Sr.
• Brandy Elaine Shields
• Melissa Kathleen Silva, PPSC
• Tyrah M Silva
• Jessica Rocio Silvas
• Milissa Simoes, A.T.,C
• Suzanne Singer

• Community/Retail Pharmacy in Perris, CA
• Providers in Perris, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.