# SHIV PHARMACY INCORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SHIV PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093769176
- **Authorized official:** ARUN PATEL (PRESIDENT)
- **Authorized official phone:** (773) 778-3420

## Contact information

- **Practice address:** 1608 W 69TH ST, CHICAGO, IL 60636-3316
- **Practice address phone:** (773) 778-3420
- **Mailing address:** 1608 W 69TH ST, CHICAGO, IL 60636-3316
- **Mailing address phone:** (773) 778-3420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 54011132 | IL | Yes |

## Other

- **Enumeration date:** 05/21/2006
- **Last updated:** 01/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1460853 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |