Organization
SHIVAADI CORPORATION
Active
Other names
BRIDGEPORT NEIGHBORHOOD PHARMACY, FCHC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNASA BHAVSAR (OWNER)
(773) 940-2000
Entity
Organization
Contact information
Practice address
3303 S HALSTED ST, CHICAGO, IL 60608-6877
(773) 940-2000
(773) 475-6732
Mailing address
3303 S HALSTED ST, CHICAGO, IL 60608-6877
(773) 940-2000
(773) 475-6732
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054018936
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150552
PK
—
Enumeration date
01/29/2015
Last updated
02/10/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up