Active NPI
Shahrzad Vasy
- Pharmacist
- Berlin, MD
National Provider Identifier
1205305208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26174
- Practice address
- 11011 Manklin Creek Rd
Berlin, MD 21811-4010 - Phone
- (410) 641-5858
- NPI assigned
- Nov 19, 2018
- 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 | A1-0005337 | DE | |
| Pharmacist | 183500000X | 26174 | MD | Primary |
Addresses
Primary practice location
11011 Manklin Creek Rd
Berlin, MD 21811-4010
Mailing address
8690 Barbara Ann Way Apt 304
Delmar, MD 21875-2487
Phone (302) 437-4286
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26174 | Other | MD | IMMUNIZING PHARMACIST LICENSE |
| A1-0005337 | Other | DE | IMMUNIZING PHARMACIST LICENSE |
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 |
|---|---|---|---|
| A1-0005337 | DE | MD | Pharmacist |
| 26174 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1205305208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8690 BARBARA ANN WAY APT 304",
"city": "DELMAR",
"state": "MD",
"postal_code": "218752487",
"telephone_number": "302-437-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 MANKLIN CREEK RD",
"city": "BERLIN",
"state": "MD",
"postal_code": "218114010",
"telephone_number": "410-641-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASY",
"first_name": "SHAHRZAD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0005337",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMMUNIZING PHARMACIST LICENSE",
"identifier": "26174",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMMUNIZING PHARMACIST LICENSE",
"identifier": "A1-0005337",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.