Organization Active NPI

Shehala It Inc

  • Community/Retail Pharmacy
  • Benbrook, TX
National Provider Identifier
1366759383
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27215 Issued in TX
Legal business name
SHEHALA IT INC
Practice address
410 Mercedes St
Benbrook, TX 76126-2519
Phone
(817) 249-9595
Fax
(817) 249-9596
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Mohammed HaqueNPI 1548577117
Title
President
Phone
(817) 249-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27215 TX Primary

Addresses

Primary practice location

410 Mercedes St
Benbrook, TX 76126-2519

Mailing address

410 Mercedes St
Benbrook, TX 76126-2519
Phone (817) 249-9595

Other identifiers 2

IdentifierTypeStateIssuer
146267MedicaidTX
2126707OtherPK

Other names 1

  • Benbrook Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

410 Mercedes St
Benbrook, TX 76126
Phone (817) 249-9595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1366759383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262519",
            "telephone_number": "817-249-9595",
            "fax_number": "817-249-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262519",
            "telephone_number": "817-249-9595",
            "fax_number": "817-249-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEHALA IT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-249-9595"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146267",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benbrook Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.