JAI SIDDHI VINAYAK INC. (NPI# 1407188451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407188451 |
| Entity Type | Organization |
| Organization Name | JAI SIDDHI VINAYAK INC. |
| Other Organization Name | M L K PHARMACY |
| Practice Address |
1489 New Walkertown Rd Winston Salem NC 27101-3319 |
| Practice Telephone | 3367570262 |
| Mailing Telephone | 3367220077 |
| Mailing Fax Number | 3367220051 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | MRS. SHRADDHA NARENDRA MODI (PRESIDENT) |
| Authorized Official Telephone | 3367570262 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10479 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| M L K PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892712 | Jai Siddhi Vinayak Inc. | Pharmacy | 1489 New Walkertown Rd, Winston Salem, NC 27101-3319 | 2020-05-12 |
| Street Address |
1489 NEW WALKERTOWN RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892712 | Jai Siddhi Vinayak Inc. | Pharmacy | 1489 New Walkertown Rd, Winston Salem, NC 27101-3319 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| 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 |
|---|---|---|---|---|
| 1972958361 | Nuestra Farmacia | Pharmacy | 516 Waughtown Street, Winston Salem, NC 27107-6835 | 2016-05-04 |
| 1235400128 | Robinhood Family Pharmacy LLC | Pharmacy | 3443 Robinhood Rd, Ste S, Winston Salem, NC 27106-4760 | 2012-01-24 |
| 1659512879 | Stanleyville Family Pharmacy Inc | Pharmacy | 475 Summit Square Blvd, Winston Salem, NC 27105-1485 | 2009-03-18 |
| 1962688598 | Walgreen Co. | Pharmacy | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2008-01-14 |
| 1518042613 | Andrews Pharmacy, Inc. | Pharmacy | 1305 S Hawthorne Rd, Winston Salem, NC 27103-4121 | 2006-10-26 |
| 1124121975 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3325 Robinhood Rd, Winston Salem, NC 27106-5403 | 2006-09-07 |
| 1669575007 | North Carolina Cvs Pharmacy LLC | Pharmacy | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2006-09-07 |
| 1578666269 | North Carolina Cvs Pharmacy LLC | Pharmacy | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2006-09-07 |
| 1013924018 | Walgreen Co | Pharmacy | 3634 Reynolda Rd, Winston Salem, NC 27106-2230 | 2006-08-02 |
| 1245252808 | North Carolina Cvs Pharmacy LLC | Pharmacy | 5420 University Pkwy, Winston Salem, NC 27105-1366 | 2006-07-24 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.