Mira Younan Shenoudy Shenouda

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202219294 Issued in VA

Practice address

11230 Waples Mill Rd Ste 115
Fairfax, VA 22030-5026

Phone

(703) 272-7040

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1982289484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 PADDINGTON CT APT 202",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215920",
            "telephone_number": "571-241-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 WAPLES MILL RD STE 115",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305026",
            "telephone_number": "703-272-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOUDA",
        "first_name": "MIRA",
        "middle_name": "YOUNAN SHENOUDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202219294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsai-Pei Shen, MA, OTR/L
• Mahesh Bhaskar Shenai, MD
• Jiwei Sheng, MD
• Olivia Sheng
• Dusty Marie Shenofsky, LLP
• Stephanie Anne Shepard, PA
• Lauren Shepherd
• Okera Lee Shepherd, PSYD
• Lorna Sher, OTRL
• Michael Sherer, M.D.

• Pharmacist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.