Active NPI
Shayan Ali, PHARMD
- Pharmacist
- San Antonio, TX
National Provider Identifier
1134739576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67033
- Practice address
- 302 Valley Hi Dr
San Antonio, TX 78227-4602 - Phone
- (210) 673-1760
- NPI assigned
- Jul 31, 2020
- Last updated
- Jul 31, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 67033 | TX | Primary |
Addresses
Primary practice location
302 Valley Hi Dr
San Antonio, TX 78227-4602
Mailing address
24415 Bear MTN
San Antonio, TX 78258-7252
Phone (210) 577-0310
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67033 | TX | MD | Clinical Social Worker |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1134739576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24415 BEAR MTN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587252",
"telephone_number": "210-577-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 VALLEY HI DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782274602",
"telephone_number": "210-673-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "SHAYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.