Shah Mohammed Yahya, R.PH.
Individual provider Active NPI Pharmacist · Crisfield, MD
NPI 1962593699 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1962593699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14326 (MD)
- Practice address
- 390 W Main St Unit a
Crisfield, MD 21817 - Phone
- (410) 968-1660
- Fax
- (410) 968-9102
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14326 | MD | MD | Pharmacist |
| RP043949R | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wicomico Health Services LLC | Current | Accepting new patients | |
| Somerset Health Services LLC | Pharmacist | Current | Accepting new patients |
Locations
390 W Main St
#A
Crisfield, MD 21817
Phone (410) 968-1660
390 W Main St
Crisfield, MD 21817
Phone (410) 968-1660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14326 | MD | Yes |
| Pharmacist | 183500000X | RP043949R | PA |
Addresses
Primary practice location
390 W Main St Unit a
Crisfield, MD 21817
Mailing address
390 W Main St
Crisfield, MD 21817-1329
Phone (410) 968-1660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010166268 | Medicaid | VA | |
| 003150000 | Medicaid | MD | |
| 14326 | Other | MD | PHARMACY LICENSE NUMBER |
| 408862000 | Other | MD | MEDICAID DME |
Other providers in Crisfield, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.