Individual provider Active NPI

Sholeh Naserzadeh, R.PH.

  • Pharmacist
  • Houston, TX
National Provider Identifier
1619043767
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35344 Issued in TX
Practice address
4711 Airline Dr
Houston, TX 77022-3003
Phone
(713) 691-3330
Fax
(713) 691-0901
NPI assigned
Nov 28, 2006
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35344 TX Primary

Addresses

Primary practice location

4711 Airline Dr
Houston, TX 77022-3003

Mailing address

4948 Post Oak Timber Dr
Houston, TX 77056-2212

Other practice location 1

8124 Antoine Dr
Houston, TX 77088-2844
Phone (832) 598-2262

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
35344TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1619043767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 POST OAK TIMBER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770562212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223003",
            "telephone_number": "713-691-3330",
            "fax_number": "713-691-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8124 Antoine Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770882844",
            "country_code": "US",
            "telephone_number": "832-598-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASERZADEH",
        "first_name": "SHOLEH",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "35344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.