Organization Active NPI

Shifa Pharmacy LLC

  • Community/Retail Pharmacy
  • Minneapolis, MN
National Provider Identifier
1194436212
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHIFA PHARMACY LLC
Practice address
1516 E Lake St Ste 103
Minneapolis, MN 55407-1997
Phone
(612) 208-1456
Fax
(612) 208-1457
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Dr. Muzahim Mohamed, PHARMDNPI 1659993137
Title
Ceo/Owner
Phone
(612) 208-1456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1516 E Lake St Ste 103
Minneapolis, MN 55407-1997

Mailing address

1516 E Lake St # 103
Minneapolis, MN 55407-1997
Phone (612) 208-1456

Other identifiers 1

IdentifierTypeStateIssuer
1194436212MedicaidMN

National Provider Directory

National Provider Directory

Locations

1516 E Lake St
Ste 103
Minneapolis, MN 55407
Phone (612) 208-1456

1516 E Lake St
#2
Minneapolis, MN 55407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1194436212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E LAKE ST # 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071997",
            "telephone_number": "612-208-1456",
            "fax_number": "612-208-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E LAKE ST STE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071997",
            "telephone_number": "612-208-1456",
            "fax_number": "612-208-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MUZAHIM",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "612-208-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194436212",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.