Individual provider Active NPI

Sneha Tapan Shah

  • Pharmacist
  • Livonia, MI
National Provider Identifier
1598379232
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302043409 Issued in MI
Practice address
8850 Newburgh Rd
Livonia, MI 48150-3425
Phone
(734) 524-9663
Fax
(734) 524-9670
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302043409 MI Primary

Addresses

Primary practice location

8850 Newburgh Rd
Livonia, MI 48150-3425

Mailing address

8850 Newburgh Rd
Livonia, MI 48150-3425
Phone (734) 524-9663

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

LicenseStateTypeSpecialty
5302043409MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 16, 2024 Accepting new patients
Walgreen Co PastSince Sep 6, 2020 Accepting new patients

Locations

8850 Newburgh Rd
Livonia, MI 48150
Phone (734) 524-9663

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1598379232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503425",
            "telephone_number": "734-524-9663",
            "fax_number": "734-524-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503425",
            "telephone_number": "734-524-9663",
            "fax_number": "734-524-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SNEHA",
        "middle_name": "TAPAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.