Individual provider Active NPI

Nageh Mahrous Shenouda, PHARMACIST

  • Pharmacist
  • Chicopee, MA
National Provider Identifier
1801518238
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH238688 Issued in MA
Practice address
635 Prospect St
Chicopee, MA 01020-3047
Phone
(508) 667-2489
Fax
(413) 200-3095
NPI assigned
Sep 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH238688 MA Primary

Addresses

Primary practice location

635 Prospect St
Chicopee, MA 01020-3047

Mailing address

635 Prospect St
Chicopee, MA 01020-3047
Phone (508) 667-2489

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
PH238688MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shenouda Pharmacy Inc CurrentSince Oct 30, 2022 Accepting new patients

Locations

635 Prospect St
Chicopee, MA 01020
Phone (413) 315-9381

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1801518238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PROSPECT ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010203047",
            "telephone_number": "508-667-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PROSPECT ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010203047",
            "telephone_number": "508-667-2489",
            "fax_number": "413-200-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOUDA",
        "first_name": "NAGEH",
        "middle_name": "MAHROUS",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH238688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.