Active NPI
Shady Henary Aziz Namroud
- Pharmacist
- Warsaw, VA
National Provider Identifier
1114217734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202209723
- Practice address
- 4671 Richmond Rd
Warsaw, VA 22572-3137 - Phone
- (804) 333-4122
- NPI assigned
- Apr 15, 2011
- Last updated
- Apr 15, 2011
- 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 | 0202209723 | VA | Primary |
Addresses
Primary practice location
4671 Richmond Rd
Warsaw, VA 22572-3137
Mailing address
4671 Richmond Rd
Warsaw, VA 22572-3137
Phone (804) 333-4122
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 |
|---|---|---|---|
| 0202209723 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1114217734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4671 RICHMOND RD",
"city": "WARSAW",
"state": "VA",
"postal_code": "225723137",
"telephone_number": "804-333-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4671 RICHMOND RD",
"city": "WARSAW",
"state": "VA",
"postal_code": "225723137",
"telephone_number": "804-333-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMROUD",
"first_name": "SHADY",
"middle_name": "HENARY AZIZ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202209723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, VA
- Lorren Sanders Leonard, PT, DPT
- Laura J. Mark, M.D.
- Lancie Mazza, L.C.S.W.
- Medical Facilities of America XX &XXX (Warsaw Health & Rehabilitation Center)
- Jordyn Leigh Miller
- Clayton E Neal, LCSW
- Northern Neck Acupuncture LLC
- Northern Neck Physical Therapy Limited Partnership
- Northern Neck Regional Special Education Program
- Northern Neck SNF Operations LLC (Northern Neck Senior Care Community)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.