Individual provider Active NPI

Shadi Awadallah, PHARMD, RPH

  • Pharmacist
  • Uniontown, OH
National Provider Identifier
1366046856
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03331347 Issued in OH
Practice address
3761 Massillon Rd
Uniontown, OH 44685-7730
Phone
(330) 899-9085
Fax
(330) 899-9361
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03331347 OH Primary

Addresses

Primary practice location

3761 Massillon Rd
Uniontown, OH 44685-7730

Mailing address

3761 Massillon Rd
Uniontown, OH 44685-7730
Phone (330) 899-9085

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03331347OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1366046856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 MASSILLON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857730",
            "telephone_number": "330-899-9085",
            "fax_number": "330-899-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 MASSILLON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857730",
            "telephone_number": "330-899-9085",
            "fax_number": "330-899-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADALLAH",
        "first_name": "SHADI",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03331347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.