Shivita Rx LLC
NPI 1215809025 · Community/Retail Pharmacy · Forked River, NJ
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivita Rx LLC is a Community/Retail Pharmacy organization in Forked River, NJ (NPI 1215809025).
Provider details
- NPI number
- 1215809025
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ketankumar Patel, Owner(609) 622-5507
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lacey Pharmacy and Convenience
Registry dates
- Enumerated
- 2025-09-22
- Last updated
- 2025-09-22
- Certified
- 2025-09-21
Frequently asked questions
- What is Shivita Rx LLC's NPI number?
- Shivita Rx LLC's National Provider Identifier (NPI) is 1215809025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shivita Rx LLC?
- Shivita Rx LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Shivita Rx LLC located?
- Shivita Rx LLC's practice location on file with NPPES is 5 Lacey Rd, Forked River, NJ 08731-4238.
- What is Shivita Rx LLC's phone number?
- The practice phone number listed in the NPPES registry for Shivita Rx LLC is (609) 622-5507.
- Does Shivita Rx LLC accept Medicare?
- Shivita Rx LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shivita Rx LLC?
- The authorized official listed on Shivita Rx LLC's NPPES record is Ketankumar Patel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shivita Rx LLC's NPI active?
- Yes — Shivita Rx LLC's NPI (1215809025) is active in the NPPES registry as of the last update on 2025-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.