Individual provider Active NPI

Shadia Ibrahim Kreit, RPH

  • Pharmacist
  • Humble, TX
National Provider Identifier
1134640964
Registry record updated Jul 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35115 Issued in TX
Practice address
9665 FM 1960 Bypass Rd W
Humble, TX 77338-4043
Phone
(281) 540-7016
Fax
(281) 540-7018
NPI assigned
Jul 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35115 TX Primary

Addresses

Primary practice location

9665 FM 1960 Bypass Rd W
Humble, TX 77338-4043

Mailing address

21819 Grand Lancelot Dr
Kingwood, TX 77339-7701
Phone (832) 596-7466

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
35115TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498867200000",
    "number": "1134640964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21819 GRAND LANCELOT DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773397701",
            "telephone_number": "832-596-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 FM 1960 BYPASS RD W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384043",
            "telephone_number": "281-540-7016",
            "fax_number": "281-540-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIT",
        "first_name": "SHADIA",
        "middle_name": "IBRAHIM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-01",
        "last_updated": "2017-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "35115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2017; 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.