Individual provider Active NPI

Viral Pankaj Shah, PHARMD

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1932625167
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS38128 Issued in FL
Practice address
2708 W Waters Ave
Tampa, FL 33614-1837
Phone
(813) 932-6337
Fax
(813) 932-7455
NPI assigned
Aug 18, 2017
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS38128 FL Primary

Addresses

Primary practice location

2708 W Waters Ave
Tampa, FL 33614-1837

Mailing address

5315 Avion Park Dr Ste 120
Tampa, FL 33607-1461
Phone (727) 209-5722

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
PS38128FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Pharmacy PastSince Oct 20, 2019 Accepting new patients

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, 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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1932625167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 AVION PARK DR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071461",
            "telephone_number": "727-209-5722",
            "fax_number": "727-201-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141837",
            "telephone_number": "813-932-6337",
            "fax_number": "813-932-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIRAL",
        "middle_name": "PANKAJ",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS38128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.