Pearl Shah LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27659 Issued in FL

Legal business name

PEARL SHAH LLC

Doing business as

Saint Petersburg Pharmacy

Practice address

6399 38TH Ave N Ste A5
St Petersburg, FL 33710-1651

Phone

(727) 201-9500

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Amit Dhiman

Title

MGR

Phone

(727) 389-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saint Petersburg Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1265820807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 38TH AVE N",
            "address_2": "SUITE A-5",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101647",
            "telephone_number": "727-258-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 38TH AVE N STE A5",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101651",
            "telephone_number": "727-201-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL SHAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "DHIMAN",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "727-389-5900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149350",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Petersburg Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peaceful Path Wellness LLC
• Peaceful Warriors Wellness Center
• Teresa E Peak, PA-C
• Faye R Pearce
• Stephen Ryan Pearce, OTR/L
• Pearl Shah LLC (Saint Petersburg Pharmacy)
• Pearle Capstone Eye Associates PLLC
• Christine Pearson
• Karah Shaniece Pearson, MSN, APRN, ACNPC-AG
• Pearson's Family Care LLC

• Community/Retail Pharmacy in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.