Individual provider Active NPI

Fadi Shamma, PHARM-D

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1952671398
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41907 Issued in FL
Practice address
8398 Sheldon Rd
Tampa, FL 33615-1609
Phone
(813) 884-1487
NPI assigned
Jan 2, 2012
Last updated
Jan 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS41907 FL Primary

Addresses

Primary practice location

8398 Sheldon Rd
Tampa, FL 33615-1609

Mailing address

8398 Sheldon Rd
Tampa, FL 33615-1609
Phone (813) 884-1487

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
PS41907FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

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": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1952671398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8398 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151609",
            "telephone_number": "813-884-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8398 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151609",
            "telephone_number": "813-884-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMMA",
        "first_name": "FADI",
        "credential": "PHARM-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41907",
            "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 Jan 2, 2012; 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.