Cindy Yoon Shau

Primary specialty

PharmacistTaxonomy code 183500000X

License

68374 Issued in TX

Practice address

7125 Marvin D Love Fwy Ste 105
Dallas, TX 75237-3111

Phone

(469) 646-6057

Fax

(469) 895-6057

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern Star Pharmacy 002

  • Community/Retail Pharmacy
  • Mesquite, TX
  • NPI 1194349431
  NPD (past)

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1255927208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 GAGE AVE APT 418",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091656",
            "telephone_number": "678-371-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MARVIN D LOVE FWY STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373111",
            "telephone_number": "469-646-6057",
            "fax_number": "469-895-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAU",
        "first_name": "CINDY",
        "middle_name": "YOON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH83981",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032524",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uttam Kumar Shastri, M.D
• Shatorya Ann Modkins
• Cary Shatto, DDS
• Emilie Shatto
• Sara Shatto, PHARM. D.
• Philip Warren Shaul, MD
• Stephanie Shaull, MSW
• Shavers 'Plus' Counseling Solutions, LLC
• Amanda Nicole Shaw, MD
• Annie Shaw, MD

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.