Active NPI
Pooja R Shah
- Pharmacist
- Palm Harbor, FL
National Provider Identifier
1659071645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87721
- Practice address
- 4923 Quill CT
Palm Harbor, FL 34685-4601 - Phone
- (727) 642-6671
- NPI assigned
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PS63531 | FL | |
| Pharmacist | 183500000X | 87721 | CA | Primary |
Addresses
Primary practice location
4923 Quill CT
Palm Harbor, FL 34685-4601
Mailing address
4923 Quill CT
Palm Harbor, FL 34685-4601
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
| License | State | Type | Specialty |
|---|---|---|---|
| 87721 | CA | MD | Pharmacist |
| PS63531 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1659071645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 QUILL CT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346854601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 QUILL CT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346854601",
"telephone_number": "727-642-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "POOJA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS63531",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.