Individual provider Active NPI

Shaza Eltahir, RPH

  • Pharmacist
  • Irving, TX
National Provider Identifier
1821537523
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57472 Issued in TX
Practice address
3549 W Walnut Hill LN Apt 3063
Irving, TX 75038-4130
Phone
(713) 928-0289
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57472 TX Primary

Addresses

Primary practice location

3549 W Walnut Hill LN Apt 3063
Irving, TX 75038-4130

Mailing address

3549 W Walnut Hill LN Apt 3063
Irving, TX 75038-4130
Phone (713) 928-0289

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
57472TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1821537523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 W WALNUT HILL LN APT 3063",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750384130",
            "telephone_number": "713-928-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 W WALNUT HILL LN APT 3063",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750384130",
            "telephone_number": "713-928-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAHIR",
        "first_name": "SHAZA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.