Shady S Abdelmasih, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS46532 Issued in FL

Practice address

31201 US Highway 19 N
Suite 1
Palm Harbor, FL 34684

Phone

(727) 666-0248

Fax

(727) 772-6969

NPI assigned

Dec 3, 2012

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• King Pharmacy & Compounding LLC

  • Community/Retail Pharmacy
  • Palm Harbor, FL
  • NPI 1851728703
  NPD (past) Authorized official
• St George Pharmacy Inc

  dba St George Pharmacy

  • Community/Retail Pharmacy
  • Palm Harbor, FL
  • NPI 1881757417
  Authorized official Same address or phone

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1740525708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 US HIGHWAY 19 N",
            "address_2": "SUITE 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-666-0248",
            "fax_number": "727-772-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 US HIGHWAY 19 N",
            "address_2": "SUITE 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-666-0248",
            "fax_number": "727-772-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMASIH",
        "first_name": "SHADY",
        "middle_name": "S",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3825 Countryside Boulevard Operations LLC (Countryside Rehab and Healthcare Center)
• A Alternative Health Center, P.a.
• A Palms Personal Care & Homemaking Services, LLC.
• Sogand Abbasi
• Norman S Abbott Jr., M.D.
• Michael Abenoja
• Amina Abou
• Accordia Woods LLC
• Achieve Pharmacy LLC
• Active Orthopedics, LLC

• Pharmacist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.