Active NPI
Amy Shah, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1184313330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051294650
- Practice address
- 2621 S Lawndale Ave
Chicago, IL 60623-4520 - Phone
- (773) 542-9595
- Fax
- (773) 542-9590
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0248182 | GA | |
| Pharmacist | 183500000X | 051294650 | IL | Primary |
Addresses
Primary practice location
2621 S Lawndale Ave
Chicago, IL 60623-4520
Mailing address
1255 Town Center Rd Unit 5O
Vernon Hills, IL 60061-4196
Phone (404) 992-3765
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 |
|---|---|---|---|
| RPH0248182 | GA | MD | Pharmacist |
| 051294650 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia de Lawndale Inc | Pharmacist | Current | Accepting new patients |
Locations
2621 S Lawndale Ave
Chicago, IL 60623
Phone (773) 542-9595
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1184313330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 TOWN CENTER RD UNIT 5O",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600614196",
"telephone_number": "404-992-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 S LAWNDALE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234520",
"telephone_number": "773-542-9595",
"fax_number": "773-542-9590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH0248182",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051294650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.