Active NPI
John Shamoun
- Pharmacist
- Santa Maria, CA
National Provider Identifier
1952883365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78576
- Practice address
- 345 Town Ctr W
Santa Maria, CA 93458-5076 - Phone
- (805) 925-1167
- Fax
- (805) 349-9366
- NPI assigned
- Aug 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 78576 | CA | Primary |
Addresses
Primary practice location
345 Town Ctr W
Santa Maria, CA 93458-5076
Mailing address
345 Town Ctr W
Santa Maria, CA 93458-5076
Phone (805) 925-1167
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
| License | State | Type | Specialty |
|---|---|---|---|
| 78576 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Santa Maria, CA
- NPI 1679682033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1952883365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 TOWN CTR W",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934585076",
"telephone_number": "805-925-1167",
"fax_number": "805-349-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 TOWN CTR W",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934585076",
"telephone_number": "805-925-1167",
"fax_number": "805-349-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMOUN",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.