Pearl Shah LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH27659 Issued in FL

Legal business name

PEARL SHAH LLC

Doing business as

Saint Petersburg Pharmacy

Practice address

6399 38TH Ave N Ste A5
Saint Petersburg, FL 33710-1651

Phone

(727) 201-9500

Fax

(727) 201-9501

NPI assigned

Aug 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amit Kumar Dhiman

Title

MGRM

Phone

(727) 389-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saint Petersburg Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831616515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 38TH AVE N STE A5",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101651",
            "telephone_number": "727-201-9500",
            "fax_number": "727-201-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 38TH AVE N STE A5",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101651",
            "telephone_number": "727-201-9500",
            "fax_number": "727-201-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL SHAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DHIMAN",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "727-389-5900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH27659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH27659",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Petersburg Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peaceful Warriors Wellness Center
• Teresa E Peak, PA-C
• Faye R Pearce
• Stephen Ryan Pearce, OTR/L
• Pearl Shah LLC (Saint Petersburg Pharmacy)
• Pearle Capstone Eye Associates PLLC
• Christine Pearson
• Karah Shaniece Pearson, MSN, APRN, ACNPC-AG
• Pearson's Family Care LLC
• Noel A Peceu

• Long Term Care Pharmacy in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.