Active NPI
John Samir Shenouda, PHARM.D
- Pharmacist
- Smyrna, TN
National Provider Identifier
1417245408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35902
- Practice address
- 233 S Lowry St
Smyrna, TN 37167-3007 - Phone
- (615) 355-4828
- NPI assigned
- Jul 12, 2011
- Last updated
- Jul 12, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 35902 | TN | Primary |
Addresses
Primary practice location
233 S Lowry St
Smyrna, TN 37167-3007
Mailing address
210 Middleton St
Apt. 204
Nashville, TN 37210-2080
Phone (615) 668-0793
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35902 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1417245408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MIDDLETON ST",
"address_2": "APT. 204",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372102080",
"telephone_number": "615-668-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 S LOWRY ST",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371673007",
"telephone_number": "615-355-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOUDA",
"first_name": "JOHN",
"middle_name": "SAMIR",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "35902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.