Shatiff Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29427 Issued in TX

Legal business name

SHATIFF PHARMACY INC

Practice address

2771 E Broad St Ste 219
Mansfield, TX 76063-9157

Phone

(817) 225-4136

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Ai-My Thi Nguyen, RPH

Title

Pharmacist in Charge

Phone

(817) 225-4136

Specialties & licenses 1

Addresses

Other names 1

• DFW WELLNESS PHARMACY 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.

• Sharon Sama

  • Psychiatric/Mental Health Nurse Practitioner
  • Anna, TX
  • NPI 1265070288
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1992104194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 E BROAD ST STE 219",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639157",
            "telephone_number": "817-225-4136",
            "fax_number": "817-225-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 E BROAD ST STE 219",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639157",
            "telephone_number": "817-225-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHATIFF PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AI-MY",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "817-225-4136",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW WELLNESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Shaffer
• Brinda Shah
• Ana Shanley
• Mark L Shapiro, M.D.
• Angela Sharp-Davis, CSA/SA-C
• Anne Sheaffer, PA-C
• Munib Sheikh, PHARM.D
• Jacquelyn Conaway Shekarchi, CPNP
• Shepherd Non-Emergency Medical Transportation LLC
• Kylie Lanier Sheppard

• Community/Retail Pharmacy in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.