Active NPI
Abdelhammed Sabri Hamid Shada, RPH
- Pharmacist
- San Juan, PR
National Provider Identifier
1417082579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4965
- Practice address
- 870 Calle Las Marias
Hyde Park
San Juan, PR 00927-4209 - Phone
- (787) 763-9536
- NPI assigned
- Feb 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4965 | PR | Primary |
Addresses
Primary practice location
870 Calle Las Marias
Hyde Park
San Juan, PR 00927-4209
Mailing address
870 Calle Las Marias
Hyde Park
San Juan, PR 00927-4209
Phone (787) 763-9536
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Mart Pharmacy Plus LLC | Current | Accepting new patients | |
| Health Mart Pharmacy Plus | Current | Accepting new patients | |
| Hamid, Corp. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- San Juan, PR
- NPI 1689689226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417082579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 CALLE LAS MARIAS",
"address_2": "HYDE PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274209",
"telephone_number": "787-763-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 CALLE LAS MARIAS",
"address_2": "HYDE PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274209",
"telephone_number": "787-763-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHADA",
"first_name": "ABDELHAMMED",
"middle_name": "SABRI HAMID",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.