Active NPI
Masood Shahneaz
- Pharmacist
- Coconut Creek, FL
National Provider Identifier
1013284520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS35524
- Practice address
- 4309 W Atlantic Blvd
No 913
Coconut Creek, FL 33066-1752 - Phone
- (954) 979-2521
- NPI assigned
- Nov 29, 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 | PS35524 | FL | Primary |
Addresses
Primary practice location
4309 W Atlantic Blvd
No 913
Coconut Creek, FL 33066-1752
Mailing address
4309 W Atlantic Blvd
No 913
Coconut Creek, FL 33066-1752
Phone (954) 979-2521
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS35524 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1013284520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 W ATLANTIC BLVD",
"address_2": "NO 913",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330661752",
"telephone_number": "954-979-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 W ATLANTIC BLVD",
"address_2": "NO 913",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330661752",
"telephone_number": "954-979-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHNEAZ",
"first_name": "MASOOD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.