Individual provider Active NPI

Shariq Vastani

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1447847611
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH031889 Issued in GA
Practice address
375 18TH St NW
Atlanta, GA 30363-1190
Phone
(678) 954-4266
NPI assigned
Dec 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH031889 GA Primary

Addresses

Primary practice location

375 18TH St NW
Atlanta, GA 30363-1190

Mailing address

2310 Summit Oaks CT
Lawrenceville, GA 30043-8127

Other practice location 1

842 Peachtree St NE
Atlanta, GA 30308-1202
Phone (678) 978-7222

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cvs.com/store-locator/cvs-pharmacy-address/842+Peachtree+Street%2C+Ne-Atlanta-GA-30308/s Direct
CONNECT URL https://www.cvs.com/store-locator/cvs-pharmacy-address/375+18th+St+Nw-Atlanta-GA-30363/storeid=17220 Direct

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
RPH031889GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthyguys LLC Current Accepting new patients
Georgia CVS Pharmacy L.L.C Past Accepting new patients

Organizations & group practices 2

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1447847611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 SUMMIT OAKS CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 18TH ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631190",
            "telephone_number": "678-954-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 Peachtree St NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303081202",
            "country_code": "US",
            "telephone_number": "678-978-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASTANI",
        "first_name": "SHARIQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/store-locator/cvs-pharmacy-address/842+Peachtree+Street%2C+Ne-Atlanta-GA-30308/s",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "842 Peachtree St NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303081202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/store-locator/cvs-pharmacy-address/375+18th+St+Nw-Atlanta-GA-30363/storeid=17220",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "375 18th St NW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303631190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.