Shahneela S Abidi, B.PHARM

Key facts

NPI

1013135953

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

5302033341 (MI)

Practice address

33330 W 12 Mile Rd
Farmington Hills, MI 48334-3311

Phone

(248) 553-4050

Fax

(246) 553-3242

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Perry Drug Stores Inc and Subsidiaries Community/Retail Pharmacy · Farmington Hills, MI · NPI 1780607226
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries Community/Retail Pharmacy · Commerce Township, MI · NPI 1871602391
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013135953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 CARDINAL RDG",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243421",
            "telephone_number": "248-933-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33330 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343311",
            "telephone_number": "248-553-4050",
            "fax_number": "246-553-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIDI",
        "first_name": "SHAHNEELA",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "B.PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Farmington Hills, MI · Pharmacist in Michigan