Mina Shokralla, PH61163629

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61163629 Issued in WA

Practice address

2345 42ND Ave SW
Seattle, WA 98116-2513

Phone

(206) 932-7437

NPI assigned

Feb 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1275230476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 CALIFORNIA AVE SW APT 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163452",
            "telephone_number": "253-260-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 42ND AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162513",
            "telephone_number": "206-932-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKRALLA",
        "first_name": "MINA",
        "credential": "PH61163629",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61163629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Roy Shofstall
• Kathryn Elizabeth Shohara, RD
• Khashayar Shojaei
• Shokofeh Tabaraie DDS PLLC
• Ghazaleh Shokouhaghaei
• Courtney Sholar
• Stephen A Sholl, ED.D.
• Kelsey Morgan Shook
• Laura Shook
• Michelle Shook

• Pharmacist in Seattle, WA
• Providers in Seattle, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.