Active NPI
Shaddi Valino Shamseddin
- Pharmacist
- Spring, TX
National Provider Identifier
1508589664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71374
- Practice address
- 19710 Holzwarth Rd
Spring, TX 77388-6215 - Phone
- (281) 350-1500
- NPI assigned
- Sep 23, 2022
- Last updated
- Nov 26, 2022
- 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 | 71374 | TX | Primary |
Addresses
Primary practice location
19710 Holzwarth Rd
Spring, TX 77388-6215
Mailing address
485 Sawdust Rd
Spring, TX 77380-2263
Phone (281) 363-9583
Other practice location 1
485 Sawdust Rd
Spring, TX 77380-2263
Phone (281) 363-9583
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 |
|---|---|---|---|
| 71374 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669420800000",
"number": "1508589664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 SAWDUST RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773802263",
"telephone_number": "281-363-9583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19710 HOLZWARTH RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773886215",
"telephone_number": "281-350-1500"
}
],
"practiceLocations": [
{
"address_1": "485 Sawdust Rd",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773802263",
"country_code": "US",
"telephone_number": "281-363-9583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAMSEDDIN",
"first_name": "SHADDI",
"middle_name": "VALINO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-23",
"last_updated": "2022-11-26",
"certification_date": "2022-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.