Individual provider Active NPI

Amy Shah, PHARMD

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1184313330
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051294650 Issued in IL
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

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH0248182GAMDPharmacist
051294650ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia de Lawndale Inc Pharmacist CurrentSince Nov 24, 2024 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.

Verify at the official NPI Registry.