Shri Gajanan LLC.
Pharmacy, Community/Retail Pharmacy in Kannapolis, NC. Organization (NPI-2).
Details
- NPI
- 1649784646
- Entity type
- Organization (NPI-2)
- Legal business name
- Shri Gajanan LLC.
- Organization subpart
- No
- Enumeration date
- Nov 29, 2017
- Certification date
- Mar 3, 2022
- Last updated
- Jul 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Hermitage Pharmacy (Doing Business As)
Practice location
1509 S Cannon BlvdKannapolis, NC 28083-6250
Phone 704-298-0435 · Fax 704-298-4951
Mailing address
1509 S Cannon BlvdKannapolis, NC 28083-6250
Phone 704-298-0435 · Fax 704-298-4951
Authorized official
Casey Solana
Pic/Manager
7042980435
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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