Individual provider Active NPI

Luna Sulaiman Shahatet, RPH

  • Pharmacist
  • Katy, TX
National Provider Identifier
1558953224
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65652 Issued in TX
Practice address
22418 Kendall Shay CT
Katy, TX 77450-8215
Phone
(832) 874-4711
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP043570L PA
Pharmacist 183500000X 65652 TX Primary

Addresses

Primary practice location

22418 Kendall Shay CT
Katy, TX 77450-8215

Mailing address

22418 Kendall Shay CT
Katy, TX 77450-8215
Phone (832) 874-4711

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
65652TXMDMental Health Counselor
RP043570LPAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1558953224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22418 KENDALL SHAY CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508215",
            "telephone_number": "832-874-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22418 KENDALL SHAY CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508215",
            "telephone_number": "832-874-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHATET",
        "first_name": "LUNA",
        "middle_name": "SULAIMAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043570L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.