Sammy Kosco Shahraki, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS29606 Issued in FL

Practice address

757 Flamingo Dr
Apollo Beach, FL 33572-2448

Phone

(813) 505-3929

Fax

(813) 383-5993

NPI assigned

Oct 31, 2007

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1114106622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 FLAMINGO DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722448",
            "telephone_number": "813-505-3929",
            "fax_number": "813-383-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 FLAMINGO DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722448",
            "telephone_number": "813-505-3929",
            "fax_number": "813-383-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRAKI",
        "first_name": "SAMMY",
        "middle_name": "KOSCO",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS29606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.