Active NPI
Sameer Shah
- Pharmacist
- Charlotte, NC
National Provider Identifier
1720301971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17504
- Practice address
- 9740B University City Blvd
Charlotte, NC 28213-3608 - Phone
- (704) 688-5330
- Fax
- (704) 510-4311
- NPI assigned
- Mar 2, 2010
- Last updated
- Mar 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17504 | NC | Primary |
| Pharmacist | 183500000X | 10921 | SC |
Addresses
Primary practice location
9740B University City Blvd
Charlotte, NC 28213-3608
Mailing address
9740B University City Blvd
Charlotte, NC 28213-3608
Phone (704) 688-5330
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 |
|---|---|---|---|
| 10921 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 17504 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharma Carolina | Current | Accepting new patients | |
| Walkers Specialty Pharmacy LLC | Current | 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.
-
dba CareFirst Specialty Pharmacy
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1487935474
-
dba Walkers Drug Store
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1699492058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1720301971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9740B UNIVERSITY CITY BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282133608",
"telephone_number": "704-688-5330",
"fax_number": "704-510-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9740B UNIVERSITY CITY BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282133608",
"telephone_number": "704-688-5330",
"fax_number": "704-510-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SAMEER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-02",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17504",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10921",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.