Active NPI
Shimul Vasa, RPH
- Pharmacist
- Weddington, NC
National Provider Identifier
1093029647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12865
- Practice address
- 318 Leahy Mill CT
Weddington, NC 28104-9745 - Phone
- (704) 564-7213
- Fax
- (704) 998-2370
- NPI assigned
- Aug 5, 2010
- Last updated
- Aug 5, 2010
- Sex
- Female
- 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 | 12865 | NC | Primary |
Addresses
Primary practice location
318 Leahy Mill CT
Weddington, NC 28104-9745
Mailing address
318 Leahy Mill CT
Weddington, NC 28104-9745
Phone (704) 564-7213
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 |
|---|---|---|---|
| 12865 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1093029647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 LEAHY MILL CT",
"city": "WEDDINGTON",
"state": "NC",
"postal_code": "281049745",
"telephone_number": "704-564-7213",
"fax_number": "704-998-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 LEAHY MILL CT",
"city": "WEDDINGTON",
"state": "NC",
"postal_code": "281049745",
"telephone_number": "704-564-7213",
"fax_number": "704-998-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASA",
"first_name": "SHIMUL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weddington, NC
- The Grenda Group LLC (Weddington Physical Therapy and Wellness)
- Laura Anne Theunisse, PT
- Ulla Svane Chiropractic PLLC
- Upwelling Therapeutic Services PLLC
- Allison Valeri, PT, DPT
- Chris Vrabel, PSY.D.
- Taylor M Walker-Krohnemann, LCSW, LCAS
- Christopher W. Wasulko, D.M.D.
- Weddington Chiropractic Wellness Center
- Eric Weed, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.