Individual provider Active NPI

Mihir Shah

  • Pharmacist
  • Avon, IN
National Provider Identifier
1467056598
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26028349A Issued in IN
Practice address
749 Daybreak Dr
Avon, IN 46123-9858
Phone
(317) 487-9065
NPI assigned
Nov 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 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 26028349A IN Primary

Addresses

Primary practice location

749 Daybreak Dr
Avon, IN 46123-9858

Mailing address

749 Daybreak Dr
Avon, IN 46123-9858
Phone (317) 487-9065

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mihir.Shah3@CVSHealth.com Hook-Superx LLC

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
26028349AINMDPharmacist

Interoperability endpoints

  • Direct secure messaging: mihir.shah3@cvshealth.com

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1467056598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 DAYBREAK DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239858",
            "telephone_number": "317-487-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 DAYBREAK DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239858",
            "telephone_number": "317-487-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MIHIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028349A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mihir.Shah3@CVSHealth.com",
            "affiliation": "Y",
            "affiliationName": "Hook-Superx LLC",
            "address_1": "3630 South St",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.