Shivoam Llc
Community/Retail Pharmacy
319 S Woodland Blvd, Deland
Florida, 32720
386-734-3383 386-734-3384
Shivoam Llc is a Community/Retail Pharmacy in Deland, Florida. It is located at 319 S Woodland Blvd, Deland and it's customer support contact number is 386-734-3383. The authorized person of Shivoam Llc is Hardik G Shah who is Owner of the pharmacy and his contact number is 352-272-5944. Active license number of Shivoam Llc is PH11083 for Community/Retail Pharmacy in Florida. Shivoam Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Shivoam Llc is 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.
Pharmacy Details:
Shivoam Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Shivoam Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 319 S Woodland Blvd, Deland,
Florida, 32720 |
| Phone: | 386-734-3383 |
| Fax: | 386-734-3384 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Hardik G Shah |
| Position: | Owner |
| Contact Number: | 352-272-5944 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1134194202 |
| NPI Enumeration Date: | 21 Feb, 2006 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shivoam Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH11083 | Florida | Primary | |
| Durable Medical Equipment & Medical Supplies | PH11083 | Florida | Secondary | |
| Compounding Pharmacy | PH11083 | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1064512 | Other | | Other Id Number-commercial Number |
| 109020800 | Medicaid | Florida | |
Medicare Enrollment:
Shivoam Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7719003359 | O20100930050546 | Tujax North Inc | DME SUPPLIER - PHARMACY |
Products Available:
Shivoam Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 319 S Woodland Blvd,
Deland, Florida |
| Zip: | 32720 |
| Phone Number: | 386-734-3383 |
| Fax Number: | 386-734-3384 |
Patients can reach Shivoam Llc at
319 S Woodland Blvd, Deland, Florida or can
call on customer care at 386-734-3383.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.