Individual provider Active NPI

Nena Rose Shadi, PHARMD

  • Pharmacist
  • Woodland Hills, CA
National Provider Identifier
1467974154
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64524 Issued in CA
Practice address
22968 Victory Blvd
Woodland Hills, CA 91367-1634
Phone
(818) 887-7350
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 64524 CA Primary

Addresses

Primary practice location

22968 Victory Blvd
Woodland Hills, CA 91367-1634

Mailing address

22968 Victory Blvd
Woodland Hills, CA 91367-1634
Phone (818) 887-7350

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

LicenseStateTypeSpecialty
64524CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Beach CVS, L.L.C. PastSince Jul 24, 2022 Accepting new patients
Garfield Beach CVS LLC PastSince Jul 24, 2022 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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467974154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22968 VICTORY BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671634",
            "telephone_number": "818-887-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22968 VICTORY BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671634",
            "telephone_number": "818-887-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADI",
        "first_name": "NENA",
        "middle_name": "ROSE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.