PRATIK SHAH (NPI# 1174977722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174977722 |
| Entity Type | Individual |
| Full Name | PRATIK SHAH |
| Practice Address |
105 Stevens Ave Mount Vernon NY 10550-2686 |
| Practice Telephone | 9146640300 |
| Mailing Telephone | 9146640300 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 057892 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841708518 | Pratik R Shah | Pharmacist | 5210 Bagby Ave Apt 121, Waco, TX 76711-2309 | 2018-01-16 |
| 1306173448 | Pratik M Shah | Pharmacist | 2801 East Interstate 20, Hudson Oaks, TX 76087 | 2009-11-11 |
| 1972510725 | Pratik Kirtikumar Shah | Physical Therapist | 555 Mowry Ave, Suite E, Fremont, CA 94536-4101 | 2006-08-02 |
| 1932736394 | Pratik Shah | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-03-25 |
| 1033626403 | Pratik S Shah | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2018-01-06 |
| 1700236973 | Pratik Shah | Emergency Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-17 |
| 1871977793 | Pratik Shah | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-07-10 |
| 1447631296 | Pratik Rajendra Shah | Pharmacist | 589 N Mclean Blvd, Elgin, IL 60123-3243 | 2015-06-17 |
| 1144589466 | Pratik Dilip Shah | Internal Medicine | 142 S Main St, Danville, VA 24541-2922 | 2012-05-07 |
| 1013295617 | Pratik D Shah | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2011-07-30 |
| Street Address |
105 STEVENS AVE |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-2686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359935 | Eric Makolo | Internal Medicine | 105 Stevens Ave, Suite 609, Mount Vernon, NY 10550-2686 | 2005-10-11 |
| 1639624810 | Domique Williams | Nurse Practitioner | 105 Stevens Ave, Suite 506, Mount Vernon, NY 10550-2686 | 2016-08-17 |
| 1750766762 | Westside New York Medical, PC | Obstetrics & Gynecology | 105 Stevens Ave, Suite 209, Mount Vernon, NY 10550-2686 | 2015-07-21 |
| 1013313758 | Westchester Women's Medical Healthcare P.l.l.c. | Obstetrics & Gynecology | 105 Stevens Ave, Suite 505, Mount Vernon, NY 10550-2686 | 2014-11-07 |
| 1699110569 | Nadeem Shahid | Family Medicine | 105 Stevens Ave, Ste 306, Mount Vernon, NY 10550-2680 | 2013-05-06 |
| 1760774848 | Ramesh S. Naik Physicians P.l.l.c. | Clinic/Center | 105 Stevens Ave, 508, Mount Vernon, NY 10550-2686 | 2011-05-09 |
| 1952605586 | Cardiology Consultants of Westchester, PC | Internal Medicine | 105 Stevens Ave, Suite 101, Mount Vernon, NY 10550-2686 | 2010-12-22 |
| 1912239591 | Westchester Pulmonary Services PC | Internal Medicine | 105 Stevens Ave, Suite 609, Mount Vernon, NY 10550-2686 | 2010-02-05 |
| 1942432893 | Southern Westchester Pediatrics | Pediatrics | 105 Stevens Ave, 106, Mount Vernon, NY 10550-2686 | 2009-08-11 |
| 1538306212 | Jay Mermelstein, Dpm.pc | Durable Medical Equipment & Medical Supplies | 105 Stevens Ave, Suite 301, Mount Vernon, NY 10550-2686 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296509 | Jordan Lee Erickson | Pharmacist | 2109 E Broadway, Mount Vernon, WA 98274-4628 | 2020-08-21 |
| 1851920342 | Branda Truong | Pharmacist | 306 Texas Highway 37, Mount Vernon, TX 75457-3112 | 2020-04-06 |
| 1003449851 | Rachel Octavia Wylie | Pharmacist | 1226 Mulberry St, Mount Vernon, IN 47620-1358 | 2020-02-20 |
| 1689180184 | Samuel Cooke Ingraham IIi | Pharmacist | 618 E High St, Mount Vernon, OH 43050-2747 | 2017-12-19 |
| 1689120412 | Kendall Keith Kilbourne | Pharmacist | 410 Richmond, Mount Vernon, KY 40456-0796 | 2016-08-31 |
| 1336502996 | Timothy Lynn | Pharmacist | 3404 Broadway St, Mount Vernon, IL 62864-2267 | 2016-03-31 |
| 1548676323 | Tina Chang-yip | Pharmacist | 211 E Sandford Blvd, Mount Vernon, NY 10550-4623 | 2014-07-01 |
| 1477835114 | Sara Elizabeth Koebele | Pharmacist | 3001 Broadway St, Mount Vernon, IL 62864-2361 | 2011-09-19 |
| 1881976355 | Shimrote Ishaque | Pharmacist | 424 E. College Wa, Mount Vernon, WA 98273 | 2011-09-12 |
| 1144518143 | Hebat Allah Bakhach | Pharmacist | 242 E College Way, Mount Vernon, WA 98273-5432 | 2011-07-12 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.