Individual provider Active NPI

Shawn Ahmad

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1467931063
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63071 Issued in TX
Practice address
418 N Loop 1604 W Ste 104
San Antonio, TX 78232-1456
Phone
(210) 802-0553
NPI assigned
Aug 14, 2018
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63071 TX Primary

Addresses

Primary practice location

418 N Loop 1604 W Ste 104
San Antonio, TX 78232-1456

Mailing address

PO Box 2735
Frisco, TX 75034-0051
Phone (210) 802-0553

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
63071TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Military Apothecary LP CurrentSince Aug 14, 2022 Accepting new patients

Locations

418 N Loop 1604 W
Ste 104
San Antonio, TX 78232
Phone (210) 802-0553

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1467931063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2735",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340051",
            "telephone_number": "210-802-0553",
            "fax_number": "830-272-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N LOOP 1604 W STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321456",
            "telephone_number": "210-802-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.