Active NPI
Shahrooz Shirani
- Pharmacist
- Grapevine, TX
National Provider Identifier
1508478199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62153
- Practice address
- 3701 Ira E Woods Ave
Grapevine, TX 76051-4213 - Phone
- (817) 251-2428
- NPI assigned
- Aug 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62153 | TX | Primary |
Addresses
Primary practice location
3701 Ira E Woods Ave
Grapevine, TX 76051-4213
Mailing address
224 Meadowglen Cir
Coppell, TX 75019-3011
Other practice location 1
224 Meadowglen Cir
Coppell, TX 75019-3011
Phone (972) 467-7025
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62153 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1508478199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 MEADOWGLEN CIR",
"city": "COPPELL",
"state": "TX",
"postal_code": "750193011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 IRA E WOODS AVE",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514213",
"telephone_number": "817-251-2428"
}
],
"practiceLocations": [
{
"address_1": "224 Meadowglen Cir",
"address_purpose": "LOCATION",
"city": "Coppell",
"state": "TX",
"postal_code": "750193011",
"country_code": "US",
"telephone_number": "972-467-7025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIRANI",
"first_name": "SHAHROOZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.