Active NPI
Bakheet Shenoda
- Pharmacist
- Whitinsville, MA
National Provider Identifier
1659853497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 237672
- Practice address
- 1035B Providence Rd
Whitinsville, MA 01588-2121 - Phone
- (508) 372-0627
- NPI assigned
- Aug 29, 2018
- 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 | 237672 | MA | Primary |
Addresses
Primary practice location
1035B Providence Rd
Whitinsville, MA 01588-2121
Mailing address
1035B Providence Rd
Whitinsville, MA 01588-2121
Phone (508) 372-0627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237672 | Other | MA | RPH LICENSE |
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 |
|---|---|---|---|
| 237672 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MBS Pharma Care, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1659853497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035B PROVIDENCE RD",
"city": "WHITINSVILLE",
"state": "MA",
"postal_code": "015882121",
"telephone_number": "508-372-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035B PROVIDENCE RD",
"city": "WHITINSVILLE",
"state": "MA",
"postal_code": "015882121",
"telephone_number": "508-372-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENODA",
"first_name": "BAKHEET",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MA",
"license": "237672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE",
"identifier": "237672",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitinsville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.