Active NPI
Raj B Shah, MS
- Pharmacy Technician
- Hartford, CT
National Provider Identifier
1568607976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 25 Sigourney St
Hartford, CT 06106-5041 - Phone
- (860) 424-5864
- Fax
- (860) 424-4822
- NPI assigned
- Dec 15, 2008
- Last updated
- Dec 15, 2008
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | NU | Primary |
Addresses
Primary practice location
25 Sigourney St
Hartford, CT 06106-5041
Mailing address
25 Sigourney St
Hartford, CT 06106-5041
Phone (860) 424-5864
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1568607976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 SIGOURNEY ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065041",
"telephone_number": "860-424-5864",
"fax_number": "860-424-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SIGOURNEY ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065041",
"telephone_number": "860-424-5864",
"fax_number": "860-424-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "RAJ",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.