Active NPI
Sherihan Shaker
- Pharmacist
- Katy, TX
National Provider Identifier
1134633910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61475
- Practice address
- 24554 Kingsland Blvd
Katy, TX 77494-3429 - Phone
- (713) 644-3600
- NPI assigned
- Nov 30, 2017
- 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 | 61475 | TX | Primary |
Addresses
Primary practice location
24554 Kingsland Blvd
Katy, TX 77494-3429
Mailing address
5703 Fulshear Plantation Dr
Fulshear, TX 77441-2074
Phone (832) 808-0453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40846479 | Other | TX | DRIVER'S LICENSE |
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 |
|---|---|---|---|
| 61475 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azteca RX Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Katy, TX
- NPI 1043408842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1134633910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 FULSHEAR PLANTATION DR",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774412074",
"telephone_number": "832-808-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24554 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774943429",
"telephone_number": "713-644-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKER",
"first_name": "SHERIHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "40846479",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.