NPIMap

Individual provider Active NPI

Rachit Shah, RPH

  • Pharmacist
  • South Barrington, IL
National Provider Identifier
1629622840
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.294765 Issued in IL
Practice address
32 Willow Bay Dr
South Barrington, IL 60010-7114
Phone
(732) 910-2949
NPI assigned
Jul 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 051.294765 IL Primary

Addresses

Primary practice location

32 Willow Bay Dr
South Barrington, IL 60010-7114

Mailing address

32 Willow Bay Dr
South Barrington, IL 60010-7114
Phone (732) 910-2949

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
051.294765ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Surecare Discount Pharmacy Inc Current Accepting new patients
Surecare 2 Inc. Current Accepting new patients
Sure Care Pharmacy Incorporated Current Accepting new patients
Surecare Pharmacy 2 Inc PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 4

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1629622840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WILLOW BAY DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600107114",
            "telephone_number": "732-910-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WILLOW BAY DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600107114",
            "telephone_number": "732-910-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RACHIT",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.294765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.