Individual provider Active NPI

Parth Arunkumar Shah

  • Pharmacist
  • Santa Maria, CA
National Provider Identifier
1346606100
Registry record updated Jan 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74239 Issued in CA
Practice address
2399 S Broadway
Santa Maria, CA 93454-7832
Phone
(805) 928-4633
NPI assigned
Jan 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74239 CA Primary

Addresses

Primary practice location

2399 S Broadway
Santa Maria, CA 93454-7832

Mailing address

2443 Rubel Way Apt F
Santa Maria, CA 93455-8413
Phone (781) 439-0037

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

State licenses

LicenseStateTypeSpecialty
74239CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Adeve Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452384000000",
    "number": "1346606100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 RUBEL WAY APT F",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934558413",
            "telephone_number": "781-439-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547832",
            "telephone_number": "805-928-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PARTH",
        "middle_name": "ARUNKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-10",
        "last_updated": "2016-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "74239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.