Shady Med Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP414789L Issued in PA

Legal business name

SHADY MED INC

Practice address

5020 Centre Ave
Pittsburgh, PA 15213

Phone

(412) 586-5410

Fax

(412) 586-5351

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Marvin Sheffler

Title

President

Phone

(412) 417-9861

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AccuServ Pharmacy-PGH Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1336211135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-586-5410",
            "fax_number": "412-586-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-586-5410",
            "fax_number": "412-586-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "SHEFFLER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-417-9861"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP414789L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414789L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014239230003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3967114",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccuServ Pharmacy-PGH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Lynne Shaban, M.ED.
• Asia Shabazz
• Shabbir Lakdawala, MD PC
• Richard Kingsley Shadduck, MD
• Daniel Anthony Shade Jr., MD
• Shadyside Cardiology Rotation PC
• Shadyside Cardiovascular, PLLC
• Shadyside Eye Associates. LLC
• Shadyside Nursing and Rehabilitation Center-Pittsburgh PA, LLC
• Shadyside Optical Associates LLC

• Pharmacist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.