Active NPI
Shafter Medical Pharmacy, LLC
Doing business as Shafter Medical Pharmacy
- Community/Retail Pharmacy
- Shafter, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 48539
- Legal business name
- SHAFTER MEDICAL PHARMACY, LLC
- Doing business as
- Shafter Medical Pharmacy
- Practice address
- 825 Central Valley Hwy
Suite a
Shafter, CA 93263-2003 - Phone
- (661) 746-5600
- Fax
- (661) 746-5600
- NPI assigned
- May 31, 2007
- Last updated
- May 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iskander M Hussein, RPH
- Title
- President
- Phone
- (661) 746-5600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 48539 | CA | |
| Community/Retail Pharmacy | 3336C0003X | |||
| Community/Retail Pharmacy | 3336C0003X | 48539 | CA | Primary |
| Home Infusion Therapy Pharmacy | 3336H0001X | 48539 | CA | |
| Specialty Pharmacy | 3336S0011X | 48539 | CA | |
| Compounding Pharmacy | 3336C0004X | 48539 | CA |
Addresses
Primary practice location
825 Central Valley Hwy
Suite a
Shafter, CA 93263-2003
Mailing address
825 Central Valley Hwy
Suite a
Shafter, CA 93263-2003
Phone (661) 746-5600
Other names 1
- Shafter Medical Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161202000257 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789889650 | Practice locations: Shafter, CA |
National Provider Directory
National Provider DirectoryLocations
825 Central Valley Hwy
Ste A
Shafter, CA 93263
Phone (661) 746-5600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Shafter, CA
- NPI 1518333517
-
- Pharmacist
- Bethesda, MD
- NPI 1821442658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589241600000",
"number": "1760684047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 CENTRAL VALLEY HWY",
"address_2": "SUITE A",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932632003",
"telephone_number": "661-746-5600",
"fax_number": "661-746-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 CENTRAL VALLEY HWY",
"address_2": "SUITE A",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932632003",
"telephone_number": "661-746-5600",
"fax_number": "661-746-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAFTER MEDICAL PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A",
"authorized_official_last_name": "HUSSEIN",
"authorized_official_first_name": "ISKANDER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-746-5600",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "CA",
"license": "48539",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "48539",
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "CA",
"license": "48539",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "CA",
"license": "48539",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CA",
"license": "48539",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shafter Medical Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shafter, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.