Organization Active NPI

Shenouda Pharmacy Inc

Doing business as Chicopee pharmacy

  • Community/Retail Pharmacy
  • Chicopee, MA
National Provider Identifier
1033836663
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHENOUDA PHARMACY INC
Doing business as
Chicopee pharmacy
Practice address
635 Prospect St
Chicopee, MA 01020-3047
Phone
(508) 667-2489
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nageh Shenouda, RPHNPI 1801518238
Title
Manager
Phone
(508) 667-2489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

635 Prospect St
Chicopee, MA 01020-3047

Mailing address

26 Arnold St
Feeding Hills, MA 01030-1902
Phone (508) 667-2489

Other names 1

  • Chicopee pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231114001599 MA Part B Supplier - Mass Immunization (Roster Biller Only) 0042667974 Practice locations: Chicopee, MA

National Provider Directory

National Provider Directory

Locations

635 Prospect St
Chicopee, MA 01020
Phone (413) 315-9381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1033836663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ARNOLD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010301902",
            "telephone_number": "508-667-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PROSPECT ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010203047",
            "telephone_number": "508-667-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENOUDA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "SHENOUDA",
        "authorized_official_first_name": "NAGEH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-667-2489",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicopee pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.