SHIVSA (NPI# 1689656704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689656704 |
| Entity Type | Organization |
| Organization Name | SHIVSA |
| Other Organization Name | BOIES MEDICAL CENTER PHARMACY |
| Practice Address |
828 Delbon Ave Turlock CA 95382 |
| Practice Telephone | 2096348511 |
| Practice Fax Number | 2096343839 |
| Mailing Telephone | 2096348511 |
| Mailing Fax Number | 2096343839 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | PRATAP K ANNE (MANAGING MEMBER/PHARMACY DIRECTOR) |
| Authorized Official Telephone | 2092981715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY55568 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1689656704 | 05 | |
| PK | 2168554 | 01 |
| Other Name | Type Code |
|---|---|
| BOIES MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SHIVSAGAR INC. | 31 Cotuit Street, North Andover, Massachusetts 01845 |
| Virginia Business Entities | SHIVSAI TECHNOLOGIES INC. | 23421 Summerstown Pl, Sterling, Virginia 20166 |
| Connecticut Business Registrations | SHIVSAI, LLC | 1916 Poquonock Ave, Windsor, CT 06095 |
| Connecticut Business Registrations | Shivsairam, LLC | 151 Andrew Avenue, Apt. 204, Naugatuck, CT 06770 |
| Virginia Business Entities | Shivsanya Corp. | 202 Red Hill Dr, Martinsville, Virginia 24112 |
| Virginia Business Entities | SHIVSATYA INC. | 36466 Heskett Lane, Purcellville, Virginia 20132 |
| Street Address |
828 DELBON AVE |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720646698 | Divya Nookala | Pharmacist | 828 Delbon Ave, Turlock, CA 95382-2005 | 2019-06-05 |
| 1023440906 | Nicole Webb | Pharmacist | 828 Delbon Ave, Turlock, CA 95382-2005 | 2013-08-02 |
| 1366889628 | Boies Pharmacy Inc | Pharmacy | 828 Delbon Ave, Turlock, CA 95382-2005 | 2013-05-28 |
| 1629414073 | Boies Pharmacy Inc | Pharmacy | 828 Delbon Ave, Turlock, CA 95382-2005 | 2013-05-13 |
| 1518247717 | Thomas Kirk Sperry | Pharmacist | 828 Delbon Ave, Turlock, CA 95382-2005 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
| Find all providers in zip 95382 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952446478 | Malli, Inc. | Pharmacy | 501 E Olive Ave, Turlock, CA 95380 | 2007-02-21 |
| 1083724744 | Raleys | Pharmacy | 2900 Geer Rd, Turlock, CA 95382-1142 | 2006-08-30 |
| 1962512517 | Costco Wholesale Corporation | Pharmacy | 2955 N Tegner Rd, Turlock, CA 95380 | 2006-08-30 |
| 1164054102 | Siu Ying Kwun | Pharmacy | 3051 Countryside Dr, Turlock, CA 95380-8400 | 2020-02-07 |
| 1194155697 | Tower Pharmacy, Inc. | Pharmacy | 1801 Colorado Ave, Suite 100, Turlock, CA 95382-2706 | 2013-11-19 |
| 1528195393 | California State University Stanislaus | Pharmacy | 1 University Cir, Turlock, CA 95382-3200 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.