Individual provider Active NPI

Chetanbhai Shah, RPH

  • Pharmacist
  • Tarpon Springs, FL
National Provider Identifier
1801130174
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS42988 Issued in FL
Practice address
1933 N Pinellas Ave
Tarpon Springs, FL 34689-5780
Phone
(727) 944-5800
NPI assigned
Nov 26, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS42988 FL Primary

Addresses

Primary practice location

1933 N Pinellas Ave
Tarpon Springs, FL 34689-5780

Mailing address

1933 N Pinellas Ave
Tarpon Springs, FL 34689-5780
Phone (727) 944-5800

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS42988FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CK Pharma Current Accepting new patients
Am Pharma LLC Past Accepting new patients

Locations

1933 N Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 944-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1801130174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 N PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895780",
            "telephone_number": "727-944-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 N PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895780",
            "telephone_number": "727-944-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHETANBHAI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS42988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.