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SHIVA LLC
NPI 1073170296
Pharmacy - Community/Retail Pharmacy in Prosser, WA

Active since May 22, 2019
354 CHARDONNAY AVE STE 5, PROSSER, WA 99350(509) 788-0123(509) 788-0124 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Sep 23, 2024, Sep 10, 2024 and 1 more (4 updates tracked since 2019).

About Shiva Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVA LLC (NPI 1073170296), doing business as Prosser Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Prosser, Washington and active in the NPI registry since May 2019. The organization lists Virginia Kelly, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1073170296
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHIVA LLC
Location Address354 CHARDONNAY AVE STE 5Prosser, WA 99350-9545
Mailing Address354 Chardonnay Ave Ste 5Prosser, WA 99350-9545 · (509) 788-0123 · Fax (509) 788-0124
Phone(509) 788-0123
Fax(509) 788-0124
Organization SubpartNo
Authorized OfficialVirginia KellyOwner/member · (509) 322-7097
Enumeration DateMay 22, 2019
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1073170296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
354 CHARDONNAY AVE STE 5, Prosser, WA 99350
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Other Names 1

Doing Business AsProsser Pharmacy

Other Identifiers 1

Medicaid2130629WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
97 services97 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
91 services91 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Prosser Pharmacy carries, from the Medicare DMEPOS supplier directory.

Prosser Pharmacy

DMEPOS supplier · Prosser, WAOperated by Shiva LLC
✔

Accepts Medicare assignment

Prosser Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20416631
Medicare Participant SinceJanuary 23, 2020
Supplier Location354 Chardonnay Ave Ste 5Prosser, WA 99350
Phone(509) 788-0123
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIVA LLC
Pharmacy (Long Term Care Pharmacy)
354 CHARDONNAY AVE STE 5
PROSSER, WA 99350
Benton County (509) 788-0123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shiva LLC's NPI number?

The NPI number for Shiva LLC is 1073170296. It was assigned to this organization in the NPPES registry on May 22, 2019. The provider is doing business as Prosser Pharmacy.

Where is Shiva LLC located?

Shiva LLC is located at 354 Chardonnay Ave Ste 5, Prosser, WA 99350. The listed phone number is (509) 788-0123.

What is Shiva LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Shiva LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Prosser Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Shiva LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Shiva LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shiva LLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.