Active NPI
Shafee Ahamad Shaik
- Pharmacist
- Coloma, MI
National Provider Identifier
1184375982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302038577
- Practice address
- 6577 Paw Paw Ave
Coloma, MI 49038-8805 - Phone
- (269) 468-6207
- NPI assigned
- Jan 12, 2022
- Last updated
- Jan 12, 2022
- Sex
- Male
- 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 | 5302038577 | MI | Primary |
Addresses
Primary practice location
6577 Paw Paw Ave
Coloma, MI 49038-8805
Mailing address
6577 Paw Paw Ave
Coloma, MI 49038-8805
Phone (269) 468-6207
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 |
|---|---|---|---|
| 5302038577 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coloma Pharmacy 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, 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": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1184375982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6577 PAW PAW AVE",
"city": "COLOMA",
"state": "MI",
"postal_code": "490388805",
"telephone_number": "269-468-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6577 PAW PAW AVE",
"city": "COLOMA",
"state": "MI",
"postal_code": "490388805",
"telephone_number": "269-468-6207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAIK",
"first_name": "SHAFEE AHAMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302038577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coloma, MI
- Red Arrow Medical Clinic PC
- Rite Aid of Michigan Inc (Rite Aid Pharmacy 04239)
- Shanna R Rodgers, MA
- Jaime Rodriguez, M.D.
- Ruth Lee Center for Healing and Growth
- Melinda Amber Shannon, PT. DPT, MS
- Jeremy B Shelley, PT
- Faith Shreve, LMSW
- Southwest Michigan Center for Orthopaedics and Sports Medicine
- Southwest Michigan Home Care Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.