Active NPI
Shafwat Tanvir Sababa, PHARMD
- Pharmacist
- Boynton Beach, FL
National Provider Identifier
1538793906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59837
- Practice address
- 4761 N Congress Ave
Boynton Beach, FL 33426-7940 - Phone
- (561) 619-4461
- Fax
- (561) 619-4668
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- 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 | PS59837 | FL | Primary |
Addresses
Primary practice location
4761 N Congress Ave
Boynton Beach, FL 33426-7940
Mailing address
4761 N Congress Ave
Boynton Beach, FL 33426-7940
Phone (561) 619-4461
Other names 1
- Shafwat Tanvir
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS59837 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shree Hari PSM Inc | Current | Accepting new patients |
Locations
4761 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 619-4461
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1538793906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4761 N CONGRESS AVE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334267940",
"telephone_number": "561-619-4461",
"fax_number": "561-619-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 N CONGRESS AVE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334267940",
"telephone_number": "561-619-4461",
"fax_number": "561-619-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABABA",
"first_name": "SHAFWAT",
"middle_name": "TANVIR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAFWAT",
"last_name": "TANVIR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.