Individual provider Active NPI

Shah Mohammed Yahya, R.PH.

  • Pharmacist
  • Crisfield, MD
National Provider Identifier
1962593699
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14326 Issued in 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
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14326 MD Primary
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

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14326MDMDPharmacist
RP043949RPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wicomico Health Services LLC Current Accepting new patients
Somerset Health Services LLC Pharmacist Current Accepting new patients

Locations

390 W Main St
Crisfield, MD 21817
Phone (410) 968-1660

390 W Main St
#A
Crisfield, MD 21817
Phone (410) 968-1660

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1962593699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W MAIN ST",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "218171329",
            "telephone_number": "410-968-1660",
            "fax_number": "410-968-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W MAIN ST UNIT A",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "21817",
            "telephone_number": "410-968-1660",
            "fax_number": "410-968-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHYA",
        "first_name": "SHAH",
        "middle_name": "MOHAMMED",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14326",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043949R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crisfield, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.