Active NPI
Samir Kanubhai Shah
- Pharmacist
- Raleigh, NC
National Provider Identifier
1205662822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33432
- Practice address
- 11201 Durant Rd
Raleigh, NC 27614-9752 - Phone
- (919) 518-0514
- NPI assigned
- Sep 10, 2024
- Last updated
- Sep 10, 2024
- 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 | 33432 | NC | Primary |
Addresses
Primary practice location
11201 Durant Rd
Raleigh, NC 27614-9752
Mailing address
11201 Durant Rd
Raleigh, NC 27614-9752
Phone (919) 518-0514
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
11201 Durant Rd
Raleigh, NC 27614
Phone (919) 518-0514
Organizations & group practices 2
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": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1205662822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 DURANT RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149752",
"telephone_number": "919-518-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 DURANT RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149752",
"telephone_number": "919-518-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SAMIR",
"middle_name": "KANUBHAI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "33432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.