Active NPI
Jay Shiv Shankar LLC
- Pharmacy
- Bristol, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- JAY SHIV SHANKAR LLC
- Practice address
- 416 Mill St
Bristol, PA 19007-4813 - Phone
- (215) 788-8879
- Fax
- (215) 788-8890
- NPI assigned
- Jan 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hardikkumar Patel
- Title
- Pharmacy Manager
- Phone
- (215) 788-8879
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
416 Mill St
Bristol, PA 19007-4813
Mailing address
416 Mill St
Bristol, PA 19007-4813
Phone (215) 788-8879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210628000219 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113328204 | Practice locations: Bristol, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Jay Shiv Shankar LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Bristol, PA
- NPI 1376493833
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Bristol, PA
- NPI 1376493833
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Abington, PA
- NPI 1538715719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612310400000",
"number": "1861081093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 MILL ST",
"city": "BRISTOL",
"state": "PA",
"postal_code": "190074813",
"telephone_number": "215-788-8879",
"fax_number": "215-788-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 MILL ST",
"city": "BRISTOL",
"state": "PA",
"postal_code": "190074813",
"telephone_number": "215-788-8879",
"fax_number": "215-788-8890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY SHIV SHANKAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-12",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HARDIKKUMAR",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "215-788-8879"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.