Active NPI
Tamara Shchegol
- Pharmacist
- West Palm Beach, FL
National Provider Identifier
1689381840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS63255
- Practice address
- 2077 N Military TRL
West Palm Beach, FL 33409-3101 - Phone
- (561) 684-4626
- NPI assigned
- Oct 27, 2022
- Last updated
- Oct 27, 2022
- Sex
- Female
- 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 | PS63255 | FL | Primary |
Addresses
Primary practice location
2077 N Military TRL
West Palm Beach, FL 33409-3101
Mailing address
9342 Madewood CT
Royal Palm Beach, FL 33411-4410
Phone (347) 720-6997
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 |
|---|---|---|---|
| PS63255 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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, 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": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1689381840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9342 MADEWOOD CT",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334114410",
"telephone_number": "347-720-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2077 N MILITARY TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093101",
"telephone_number": "561-684-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHCHEGOL",
"first_name": "TAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS63255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.