Active NPI
Dharmesh Shah, PHARMD
- Pharmacist
- Crown Point, IN
National Provider Identifier
1578038840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26023728A
- Practice address
- 1201 S Main St
Crown Point, IN 46307-8481 - Phone
- (219) 757-6370
- NPI assigned
- Oct 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS47369 | FL | |
| Pharmacist | 183500000X | 26023728A | IN | Primary |
Addresses
Primary practice location
1201 S Main St
Crown Point, IN 46307-8481
Mailing address
1201 S Main St
Crown Point, IN 46307-8481
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS47369 | Other | FL | BOARD OF PHARMACY |
| 051294605 | Other | IL | BOARD OF PHARMACY |
| 26023728A | Other | IN | BOARD OF PHARMACY |
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 |
|---|---|---|---|
| PS47369 | FL | MD | Pharmacist |
| 26023728A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1578038840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078481",
"telephone_number": "219-757-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DHARMESH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-12",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47369",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26023728A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PS47369",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "051294605",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "26023728A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.