Individual provider Active NPI

Shemina Allaudin Jiwa-Thomas, RPH

  • Pharmacist
  • Waxhaw, NC
National Provider Identifier
1447555792
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13226 Issued in NC
Practice address
8157 Kensington Dr.
Harris Teeter (Pharmacy Floater for North Carolina and
Waxhaw, NC 28173
Phone
(704) 243-1238
Fax
(704) 243-7853
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 13226 NC
Pharmacist 183500000X 13226 NC Primary

Addresses

Primary practice location

8157 Kensington Dr.
Harris Teeter (Pharmacy Floater for North Carolina and
Waxhaw, NC 28173

Mailing address

1829 Mill Chase LN
Waxhaw, NC 28173-6947
Phone (704) 256-3909

Other names 1

  • Shemina Ismail Dawood Former name

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

State licenses

LicenseStateTypeSpecialty
13226NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1447555792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 MILL CHASE LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736947",
            "telephone_number": "704-256-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8157 KENSINGTON DR.",
            "address_2": "HARRIS TEETER (PHARMACY FLOATER FOR NORTH CAROLINA AND",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "28173",
            "telephone_number": "704-243-1238",
            "fax_number": "704-243-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIWA-THOMAS",
        "first_name": "SHEMINA",
        "middle_name": "ALLAUDIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "13226",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEMINA",
            "last_name": "DAWOOD",
            "middle_name": "ISMAIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.