Shalom Pharmacy and Medical Supplies LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05901 Issued in MD

Legal business name

SHALOM PHARMACY AND MEDICAL SUPPLIES LLC

Practice address

8981 Woodyard Rd
Clinton, MD 20735-4203

Phone

(301) 868-4094

Fax

(301) 868-4049

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Ayodele Arewa

Title

Pharmacist/Owner

Phone

(301) 868-4094

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Shalom Pharmacy and Medical Supplies Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abiodun Ayodeji Arewa, PHARMACIST

  • Pharmacist
  • Hyattsville, MD
  • NPI 1013588797
  NPD

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1972852812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8981 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354203",
            "telephone_number": "301-868-4094",
            "fax_number": "301-868-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8981 WOODYARD RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354203",
            "telephone_number": "301-868-4094",
            "fax_number": "301-868-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM PHARMACY AND MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "AREWA",
        "authorized_official_first_name": "AYODELE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "301-868-4094"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "05901",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Pharmacy and Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitesh V Shah, D.O.
• Reena Kunvarji Shah, PA
• Rushabh Sanjeev Shah
• Camilla Cassandra Shakespeare, LMSW
• Shalom Pharmacy
• Deanna Sharpe, CRNP
• Eulanda F Shaw, LCPC
• Bilqiis Sheikh-Issa
• Sheridan Anesthesia Services of Maryland PC
• Arpit Sheth, P.T.

• Community/Retail Pharmacy in Clinton, MD
• Providers in Clinton, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.