Sameh Saleem Shenoodah

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH57647 Issued in CA

Practice address

69155 Ramon Rd
Cathedral City, CA 92234-3344

Phone

(760) 770-3097

NPI assigned

May 25, 2011

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Cathedral City, CA
  • NPI 1831208354
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1366735292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69604 NORTHHAMPTON AVE",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922341102",
            "telephone_number": "760-770-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69155 RAMON RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343344",
            "telephone_number": "760-770-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOODAH",
        "first_name": "SAMEH",
        "middle_name": "SALEEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH57647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dumitru Serban
• Serenity Congregate Care
• Serenity Palms an Irecover Treatment Centers Inc.
• Jesus Servin
• Hala Z. Shakir
• William H Shibata, DDS
• Silver Springs, Inc.
• Sukhjinder Singh
• Maija Kai Slisco, LCSW
• Karen Ann Smith

• Pharmacist in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.