MEDICARE: SHIVAM SAGAR CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	025075	NY
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3323235	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083782882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIVAM SAGAR CORPORATION

Provider Business Mailing Address
First Line	:	30 CANAL ST
Second Line	:
City	:	FORT PLAIN
State	:	NY
Zip	:	13339-1101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 CANAL ST
Second Line	:
City	:	FORT PLAIN
State	:	NY
Zip	:	13339-1101
Country	:	US
Telephone Number	:	518-993-3003
Fax Number	:	518-993-4354

Authorized Official
Title or Position	:	THIRD PARTY PLAN COORDINATOR
Name	:	DENA FERMAN
Credential	:
Telephone Number	:	314-993-6000

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	03/07/2023

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1821253543 — BHUPEN N PATEL RPH
Practice Location Address:

30 CANAL ST
FORT PLAIN, NY
13339-1101

Practice Phone: 518-993-3003
Practice Fax:

1184551764 — SHANNA CHAMBERLAIN
Practice Location Address:

119 CENTER ST
PLAIN CITY, OH
43064-1101

Practice Phone: 513-607-5128
Practice Fax:

1760544696 — ACCESS TRANSPORTATION INC
Practice Location Address:

50 RIVER ST
FORT PLAIN, NY
13339-1171

Practice Phone: 518-993-4252
Practice Fax:

1447309729 — FORT PLAIN CENTRAL SCHOOL
Practice Location Address:

25 HIGH STREET , DISTRICT OFFIICE
FORT PLAIN, NY
13339

Practice Phone: 518-993-4000
Practice Fax: 518-993-3393

1619094901 — DR. ALFONSO F PINEYRO DDS
Practice Location Address:

90 CANAL STREET
FORT PLAIN, NY
13339

Practice Phone: 518-993-3023
Practice Fax: 518-993-3023

Directions to “SHIVAM SAGAR CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.