Individual provider Active NPI

Dhimant Kaushik Shah, PHARM.D.

  • Pharmacist
  • Woodridge, IL
National Provider Identifier
1679902589
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051296916 Issued in IL
Practice address
940 S Frontage Rd
Suite 1900
Woodridge, IL 60517-4946
Phone
(630) 985-7189
Fax
(630) 985-7438
NPI assigned
Nov 1, 2013
Last updated
Nov 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051296916 IL Primary
Pharmacist 183500000X 2013028393 MO

Addresses

Primary practice location

940 S Frontage Rd
Suite 1900
Woodridge, IL 60517-4946

Mailing address

940 S Frontage Rd
Suite 1900
Woodridge, IL 60517-4946
Phone (630) 985-7189

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051296916ILMDPharmacist
2013028393MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1679902589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S FRONTAGE RD",
            "address_2": "SUITE 1900",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174946",
            "telephone_number": "630-985-7189",
            "fax_number": "630-985-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S FRONTAGE RD",
            "address_2": "SUITE 1900",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174946",
            "telephone_number": "630-985-7189",
            "fax_number": "630-985-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHIMANT",
        "middle_name": "KAUSHIK",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051296916",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2013028393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.