NPIMap

Individual provider Active NPI

Maged Shalaby

  • Pharmacist
  • Panama City, FL
National Provider Identifier
1417120205
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047484 Issued in NY
Practice address
340 W 23Rd St Ste D2
Panama City, FL 32405-4541
Phone
(850) 615-1000
Fax
(850) 215-3344
NPI assigned
Apr 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047484 NY Primary
Pharmacist 183500000X RPH023796 GA
Pharmacist 183500000X PS43085 FL

Addresses

Primary practice location

340 W 23Rd St Ste D2
Panama City, FL 32405-4541

Mailing address

340 W 23Rd St Ste D2
Panama City, FL 32405-4541
Phone (850) 615-1000

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
047484NYMDEndodontist
PS43085FLMDPharmacist
RPH023796GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Panama City Drugs Current Accepting new patients
Panama City Drugs Corp Current Accepting new patients
Callaway Gulf Coast Pharmacy Co Current Accepting new patients
Gulf Pharmacy Corp Past Accepting new patients

Organizations & group practices 4

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1417120205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST STE D2",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054541",
            "telephone_number": "850-615-1000",
            "fax_number": "850-215-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W 23RD ST STE D2",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054541",
            "telephone_number": "850-615-1000",
            "fax_number": "850-215-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALABY",
        "first_name": "MAGED",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047484",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023796",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.