Individual provider Active NPI

Ravin R Shah, MS,RPH

  • Pharmacist
  • Lexington, NC
National Provider Identifier
1902812068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14729 Issued in NC
Practice address
124 Forest Hill Rd
Lexington, NC 27295-2008
Phone
(336) 224-6500
Fax
(336) 224-6555
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14729 NC Primary

Addresses

Primary practice location

124 Forest Hill Rd
Lexington, NC 27295-2008

Mailing address

124 Forest Hill Rd
Lexington, NC 27295-2008
Phone (336) 224-6500

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
Master of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14729NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
A1 Pharmacy and Surgical Supply, LLC CurrentSince Jun 15, 2021 Accepting new patients
A1 Pharmacy and Surgical Supply, LLC Current Accepting new patients

Locations

124 Forest Hill Rd
Lexington, NC 27295
Phone (336) 224-6500

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902812068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 FOREST HILL RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952008",
            "telephone_number": "336-224-6500",
            "fax_number": "336-224-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 FOREST HILL RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952008",
            "telephone_number": "336-224-6500",
            "fax_number": "336-224-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAVIN",
        "middle_name": "R",
        "credential": "MS,RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.