Active NPI
Moazzam Ahmed Shaikh, RPH
- Pharmacist
- Durham, NC
National Provider Identifier
1003125105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17619
- Practice address
- 2010 Sedwick Rd
Durham, NC 27713-4452 - Phone
- (919) 544-5807
- Fax
- (919) 572-6694
- NPI assigned
- Oct 7, 2010
- Last updated
- Aug 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17619 | NC | Primary |
Addresses
Primary practice location
2010 Sedwick Rd
Durham, NC 27713-4452
Mailing address
2010 Sedwick Rd
Durham, NC 27713-4452
Phone (919) 544-5807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17619 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1003125105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 SEDWICK RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134452",
"telephone_number": "919-544-5807",
"fax_number": "919-572-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 SEDWICK RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134452",
"telephone_number": "919-544-5807",
"fax_number": "919-572-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIKH",
"first_name": "MOAZZAM",
"middle_name": "AHMED",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-07",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.