Active NPI
Pratik M Shah, PHARM.D.
- Pharmacist
- Hudson Oaks, TX
National Provider Identifier
1306173448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47784
- Practice address
- 2801 East Interstate 20
Hudson Oaks, TX 76087 - Phone
- (817) 599-3750
- NPI assigned
- Nov 11, 2009
- Sex
- Male
- 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 | 47784 | TX | Primary |
| Pharmacist | 183500000X | 18966 | LA |
Addresses
Primary practice location
2801 East Interstate 20
Hudson Oaks, TX 76087
Mailing address
5825 Haven Lake Way
Fort Worth, TX 76244
Phone (871) 431-5473
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18966 | LA | MD | Pharmacist |
| 47784 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1306173448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 HAVEN LAKE WAY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76244",
"telephone_number": "871-431-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 EAST INTERSTATE 20",
"city": "HUDSON OAKS",
"state": "TX",
"postal_code": "76087",
"telephone_number": "817-599-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PRATIK",
"middle_name": "M",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-11",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47784",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "18966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson Oaks, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.