Active NPI
Jitesh Shah
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1659799534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S018496
- Practice address
- 18460 N 7TH St
Phoenix, AZ 85022-1108 - Phone
- (602) 993-5781
- Fax
- (602) 993-1291
- NPI assigned
- Mar 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S018496 | AZ | Primary |
Addresses
Primary practice location
18460 N 7TH St
Phoenix, AZ 85022-1108
Mailing address
1265 E University Dr
Apt 2039
Tempe, AZ 85281-8426
Phone (480) 751-9342
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 |
|---|---|---|---|
| S018496 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS LLC | Past | Accepting new patients | |
| German Dobson CVS LLC | Past | Accepting new patients |
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": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1659799534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 E UNIVERSITY DR",
"address_2": "APT 2039",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852818426",
"telephone_number": "480-751-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18460 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850221108",
"telephone_number": "602-993-5781",
"fax_number": "602-993-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JITESH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-28",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.