Turaj Tom Shafa

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY22051 Issued in CA

Legal business name

TURAJ TOM SHAFA

Practice address

8733 Beverly Blvd
Ste 100
West Hollywood, CA 90048-1890

Phone

(310) 657-1635

Fax

(310) 657-5455

NPI assigned

Dec 4, 2005

Organization subpart

No

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

Authorized official

Name

Tom Shafa, RPH

Title

Owner, Pic, Ao

Phone

(310) 657-1635

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MID WEST MEDICAL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Turaj Tom Shafa, PHARM.D.

  • Pharmacist
  • West Hollywood, CA
  • NPI 1750365656
  NPD

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

{
    "created_epoch": "1133654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1114901014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "STE 100",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481890",
            "telephone_number": "310-657-1635",
            "fax_number": "310-657-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "STE 100",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481890",
            "telephone_number": "310-657-1635",
            "fax_number": "310-657-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURAJ TOM SHAFA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-04",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "SHAFA",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "310-657-1635",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY22051",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002290",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA220510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID WEST MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MID WEST MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleain Ming Tu, M.D.
• Katherine Cody Tucker, MSW
• Michael Panganiban Tulio, M.D.
• Hurtis Jeron Tullos, M.D.
• Diana Tumberian, PHARMD
• Aaron Lansing Turner, M.D.
• Kenneth Brandon Turner, CMT
• Twin Town Corporation
• Monique Tka Onica Tyrell
• Derek Anthony Tywoniuk, RADT

• All providers in West Hollywood, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.