Hasendra Shah

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY40629 Issued in CA

Legal business name

HASENDRA SHAH

Doing business as

Dell's Los Altos Pharmacy

Practice address

1777 N Bellflower Blvd
#113
Long Beach, CA 90815-4013

Phone

(562) 597-2160

Fax

(562) 597-0648

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Hasendra Shah

Title

Pharmacist-Owner

Phone

(562) 597-2160

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Dell's Los Altos Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1700875424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD",
            "address_2": "#113",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90815",
            "telephone_number": "562-597-2160",
            "fax_number": "562-597-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD",
            "address_2": "#113",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154013",
            "telephone_number": "562-597-2160",
            "fax_number": "562-597-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASENDRA SHAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HASENDRA",
        "authorized_official_title_or_position": "PHARMACIST-OWNER",
        "authorized_official_telephone_number": "562-597-2160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY40629",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH32826",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY406290",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0888600001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA406290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0593500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dell's Los Altos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Harvey, R.N. BSN, PHN
• Shonna Harvey
• Vivian Barbara Harvey, M.A.
• Lalen Has
• Jamal Y Hasan, M.D.
• Ghaith Hashem, MD
• Honey Hashemian, O.D.
• Nathan Hashimoto, M.D.
• Arshia Hashmy, M.D.
• Yolanda Haskell, PT, DPT

• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.