Mansi Rocky Shah

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.292376 Issued in IL

Practice address

150 Smith Rd
St Charles, IL 60174-5204

Phone

(630) 513-9560

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1053912352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 WATERSIDE DR",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773718",
            "telephone_number": "630-550-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SMITH RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745204",
            "telephone_number": "630-513-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANSI",
        "middle_name": "ROCKY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.292376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Infusion and Wellness Lounge LLC
• Maureen Christina Sevandal, D.D.S, M.S.
• Nashira Sey, M.D.
• Jill K. Shackelford, CCC-SLP
• Hythem P Shadid, M.D.
• Parul Shah
• Behnoosh Shahrokh, APRN, CNP
• Diane Marie Shallcross, APRN, FPA, PMHNP-BC
• Madison Sharkey, RBT
• Melissa Jane Sharp, PSY.D.

• Pharmacist in St Charles, IL
• Providers in St Charles, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.