Individual provider Active NPI

Shubha Vaidya

  • Pharmacist
  • Houston, TX
National Provider Identifier
1518456714
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33731 Issued in TX
Practice address
1311 W Sam Houston Pkwy N Ste 150
Houston, TX 77043-4015
Phone
(866) 506-2626
Fax
(800) 696-0607
NPI assigned
May 3, 2018
Last updated
May 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33731 TX Primary

Addresses

Primary practice location

1311 W Sam Houston Pkwy N Ste 150
Houston, TX 77043-4015

Mailing address

1311 W Sam Houston Pkwy N Ste 150
Houston, TX 77043-4015
Phone (866) 506-2626

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
33731TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Therapeutic Care LP Past Accepting new patients

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1518456714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W SAM HOUSTON PKWY N STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434015",
            "telephone_number": "866-506-2626",
            "fax_number": "800-696-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W SAM HOUSTON PKWY N STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434015",
            "telephone_number": "866-506-2626",
            "fax_number": "800-696-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "SHUBHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "33731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.