SHIVAM SAGAR CORPORATION (NPI# 1083782882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083782882 |
Entity Type | Organization |
Organization Name | SHIVAM SAGAR CORPORATION |
Other Organization Name | MEDICINE SHOPPE |
Practice Address |
30 Canal St Fort Plain NY 13339-1101 |
Practice Telephone | 5189933003 |
Practice Fax Number | 5189934354 |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-11-27 |
Authorized Official Name | DENA FERMAN (THIRD PARTY PLAN COORDINATOR) |
Authorized Official Telephone | 3149936000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | 025075 | NY | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02187259 | 05 | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 3323235 | 01 | |
NY | DEA # | BS7504310 | 01 |
Other Name | Type Code |
---|---|
MEDICINE SHOPPE | Doing Business As Name - Organization |
Street Address |
30 CANAL ST |
City | FORT PLAIN |
State | NY |
Zip Code | 13339-1101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821253543 | Bhupen N Patel | Pharmacist | 30 Canal St, Fort Plain, NY 13339-1101 | 2008-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992028443 | Superior Home Health Care | Home Health | 38 Canal St, Fort Plain, NY 13339 | 2010-03-11 |
1417177643 | Alfonso F Pineyro Dds PC | Dentist | 90 Canal St, Alfonso F Pineyro Dds PC, Fort Plain, NY 13339 | 2007-04-30 |
1619094901 | Alfonso F Pineyro | Dentist | 90 Canal Street, Fort Plain, NY 13339 | 2007-03-23 |
1447309729 | Fort Plain Central School | Local Education Agency (LEA) | 25 High Street, District Offiice, Fort Plain, NY 13339 | 2007-01-09 |
1568423861 | Shauna Lee Zemken | Optometrist | 2 Canal St, Fort Plain, NY 13339 | 2006-03-28 |
1558480426 | John Charles Crary | Dentist | 2 Willett St, Fort Plain, NY 13339-1115 | 2007-03-29 |
1013566918 | Stephanie Lee Todd | Counselor | 2 Willett St, Fort Plain, NY 13339-1115 | 2019-09-04 |
1588220172 | Ashley Elissa Carl | Counselor | 2 Willett St, Fort Plain, NY 13339-1115 | 2019-05-20 |
1427542836 | Martha Heneghan | Counselor | 2 Willett St, Fort Plain, NY 13339-1115 | 2018-06-19 |
1487674677 | Douglas William Canfield | Dentist | 2 Willett St, Fort Plain, NY 13339-1115 | 2006-07-20 |
Find all providers in zip 13339 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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Find all providers with the same taxonomy |
City | FORT PLAIN |
Zip Code | 13339 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.