Active NPI
Fady Shenouda
- Pharmacist
- Santa Barbara, CA
National Provider Identifier
1982267928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76330
- Practice address
- 1109 State St
Santa Barbara, CA 93101-2712 - Phone
- (805) 564-3267
- NPI assigned
- Apr 16, 2019
- Last updated
- Apr 16, 2019
- 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 | 76330 | CA | Primary |
Addresses
Primary practice location
1109 State St
Santa Barbara, CA 93101-2712
Mailing address
1109 State St
Santa Barbara, CA 93101-2712
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 |
|---|---|---|---|
| 76330 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1982267928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012712",
"telephone_number": "805-564-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOUDA",
"first_name": "FADY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
- Matthew Shellin
- Shenandoah Smith, Licensed Marriage and Family Therapist, Inc. (Shennie Smith and Associates Therapy Group)
- Michael M Shenoda, MD
- Rania Shenoda
- Sonia Shenoi
- Eric Shepherd, M.D.
- Marjorie Elaines Shepherdsons, SOCIALWORKER,L.C.S.W
- Sherif El-Asyouty MD a Medical Corporation
- Sheriff's Treatment Program
- Sherk Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.