Individual provider Active NPI

Rund Jamil Shakroo, BPS

  • Pharmacist
  • Glen Allen, VA
National Provider Identifier
1942914619
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202214598 Issued in VA
Practice address
9645 West Broad Street Publix Pharmacy at
Glen Allen, VA 23060-4116
Phone
(804) 799-6041
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202214598 VA Primary

Addresses

Primary practice location

9645 West Broad Street Publix Pharmacy at
Glen Allen, VA 23060-4116

Mailing address

10713 Cliffmore Drive
Glen Allen, VA 23060-6451
Phone (804) 617-1872

Other names 1

  • Mrs. Rund Abdulla Jamil Former name

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

State licenses

LicenseStateTypeSpecialty
0202214598VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1942914619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10713 CLIFFMORE DRIVE",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606451",
            "telephone_number": "804-617-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 WEST BROAD STREET PUBLIX PHARMACY AT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604116",
            "telephone_number": "804-799-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKROO",
        "first_name": "RUND",
        "middle_name": "JAMIL",
        "name_prefix": "Mrs.",
        "credential": "BPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202214598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUND",
            "last_name": "JAMIL",
            "middle_name": "ABDULLA",
            "prefix": "MRS.",
            "credential": "BPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.