Active NPI
Ravish Nitinkumar Shah, PHARMD
- Pharmacist
- Jacksonville, TX
National Provider Identifier
1801458872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50244
- Practice address
- 1729 S Jackson St
Jacksonville, TX 75766-5832 - Phone
- (903) 284-6256
- Fax
- (903) 284-6243
- NPI assigned
- Jul 1, 2019
- Last updated
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50244 | TX | Primary |
Addresses
Primary practice location
1729 S Jackson St
Jacksonville, TX 75766-5832
Mailing address
1729 S Jackson St
Jacksonville, TX 75766-5832
Phone (903) 284-6256
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50244 | TX | MD | Pharmacist |
Practice roles
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": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1801458872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 S JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757665832",
"telephone_number": "903-284-6256",
"fax_number": "903-284-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 S JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757665832",
"telephone_number": "903-284-6256",
"fax_number": "903-284-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "RAVISH",
"middle_name": "NITINKUMAR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.