Active NPI
Shailesh Shah
- Pharmacist
- West Palm Beach, FL
National Provider Identifier
1114015666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 25046
- Practice address
- 10800 N Military TRL Ste 119
West Palm Beach, FL 33410-6527 - Phone
- (561) 622-2141
- NPI assigned
- Oct 10, 2006
- 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 | PS 25046 | FL | Primary |
Addresses
Primary practice location
10800 N Military TRL Ste 119
West Palm Beach, FL 33410-6527
Mailing address
10800 N Military TRL Ste 119
West Palm Beach, FL 33410-6527
Phone (561) 622-2141
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 |
|---|---|---|---|
| PS 25046 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114015666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 N MILITARY TRL STE 119",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106527",
"telephone_number": "561-622-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 N MILITARY TRL STE 119",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106527",
"telephone_number": "561-622-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHAILESH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 25046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.