Individual provider Active NPI

Shabnam Shojaat

  • Pharmacist
  • Pleasant Hill, CA
National Provider Identifier
1740829035
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85935 Issued in CA
Practice address
201 Coggins Dr Apt B214
Pleasant Hill, CA 94523-4571
Phone
(240) 461-8414
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RI04074000 NJ
Pharmacist 183500000X 85935 CA Primary

Addresses

Primary practice location

201 Coggins Dr Apt B214
Pleasant Hill, CA 94523-4571

Mailing address

201 Coggins Dr Apt B214
Pleasant Hill, CA 94523-4571
Phone (240) 461-8414

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

LicenseStateTypeSpecialty
85935CAMDPharmacist
28RI04074000NJMDPharmacy

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1740829035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COGGINS DR APT B214",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234571",
            "telephone_number": "240-461-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COGGINS DR APT B214",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234571",
            "telephone_number": "240-461-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOJAAT",
        "first_name": "SHABNAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RI04074000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.