Active NPI
Pinank Prakashbhai Shah
- Pharmacist
- Chicago, IL
National Provider Identifier
1558480905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022832
- Practice address
- 3147 W Cermak Rd
Chicago, IL 60623-3307 - Phone
- (773) 521-7422
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 10, 2023
- 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 | RPH022832 | GA | Primary |
Addresses
Primary practice location
3147 W Cermak Rd
Chicago, IL 60623-3307
Mailing address
2147 Silver Linden LN
Buffalo Grove, IL 60089-6631
Phone (404) 992-3764
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 |
|---|---|---|---|
| RPH022832 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saahil Pharmacy LTD | Current | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Locations
3147 W Cermak Rd
Chicago, IL 60623
Phone (773) 521-7422
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.
-
dba Rite Aid Pharmacy 11268
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1558480905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 SILVER LINDEN LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896631",
"telephone_number": "404-992-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3147 W CERMAK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233307",
"telephone_number": "773-521-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PINANK",
"middle_name": "PRAKASHBHAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2023-07-10",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.