Individual provider Active NPI

Syed Yawar Shafi, PHARMD

  • Pharmacist
  • Fox Point, WI
National Provider Identifier
1811585342
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051303709 Issued in IL
Practice address
8661 N Port Washington Rd
Fox Point, WI 53217-2209
Phone
(414) 540-6836
NPI assigned
Jan 10, 2021
Last updated
Jan 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051303709 IL Primary

Addresses

Primary practice location

8661 N Port Washington Rd
Fox Point, WI 53217-2209

Mailing address

8661 N Port Washington Rd
Fox Point, WI 53217-2209
Phone (414) 540-6836

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

LicenseStateTypeSpecialty
051303709ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1811585342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8661 N PORT WASHINGTON RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532172209",
            "telephone_number": "414-540-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8661 N PORT WASHINGTON RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532172209",
            "telephone_number": "414-540-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "SYED",
        "middle_name": "YAWAR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.