Organization Active NPI

Sanjivani Inc.

Doing business as The Apothecary Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Villa Rica, GA
National Provider Identifier
1952358822
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
008264 Issued in GA
Legal business name
SANJIVANI INC.
Doing business as
The Apothecary Shoppe Pharmacy
Practice address
712 Dallas Hwy
Villa Rica, GA 30180-1203
Phone
(770) 459-9499
Fax
(770) 459-9803
NPI assigned
May 27, 2006
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Mr. Parikshit S Patel, RPH.NPI 1346678687
Title
Chief Pharmacist Owner
Phone
(770) 459-9499

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 008264 GA Primary

Addresses

Primary practice location

712 Dallas Hwy
Villa Rica, GA 30180-1203

Mailing address

712 Dallas Hwy
Villa Rica, GA 30180-1203
Phone (770) 459-9499

Other identifiers 1

IdentifierTypeStateIssuer
00806803MedicaidGA

Other names 1

  • THE APOTHECARY SHOPPE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930066345 GA DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 1850412396 Practice locations: Villa Rica, GA
O20130912000179 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1850412396 Practice locations: Villa Rica, GA

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sanjivani Inc.712 Dallas Hwy, Villa Rica, GA 30180-1203(770) 459-9499 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Breast Prostheses and/or Acces… Does not accept assignmentParticipating since Jan 1, 2012

National Provider Directory

National Provider Directory

Locations

712 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 459-9499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1952358822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 DALLAS HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801203",
            "telephone_number": "770-459-9499",
            "fax_number": "770-459-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 DALLAS HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801203",
            "telephone_number": "770-459-9499",
            "fax_number": "770-459-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJIVANI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARIKSHIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF PHARMACIST OWNER",
        "authorized_official_telephone_number": "770-459-9499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "008264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00806803",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE APOTHECARY SHOPPE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.