Active NPIIndividual providerSole proprietor

Shady A Elattar

Pharmacist in Gray, Maine

NPI Number1356574941
Practice location
62 W Gray RD, Gray, ME 04039-9772
Fax
—
Last updated
August 28, 2009

Shady Aly Ismail Elattar is a Pharmacist based in Gray, ME. Shady Aly Ismail Elattar practices in Gray, ME. The NPI Number for Shady Aly Ismail Elattar is 1356574941 and holds a License No. pr5603 (ME). The current practice location address for Shady Aly Ismail Elattar is 62 W Gray RD, Gray, ME 04039-9772 and can be reached out via phone at 207-657-2333.

Provider Profile Details

NPI Number
1356574941
Provider Name
Shady Aly Ismail Elattar
Provider Entity Type
Individual
Gender
Male
Address
62 W Gray RD, Gray, ME 04039-9772
Phone Number
207-657-2333
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
August 28, 2009
Last Update Date
August 28, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 W Gray RD
Gray, ME 04039-9772
City
Gray
State
Maine
Zip
04039-9772
Phone Number
207-657-2333
Gray, ME 04039Get directions →

Provider Business Mailing Address Details

Address
15 Ledges CT
Lewiston, ME 04240-1851
City
Lewiston
State
ME
Zip
04240-1851
Phone Number
207-423-9986

License Information

License Number
pr5603
License State
ME
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pharmacists near Gray, ME

View all Pharmacists in Gray →

Frequently Asked Questions

What is the NPI number of Shady A Elattar?

The NPI number of Shady A Elattar is 1356574941. It was assigned on August 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Shady A Elattar?

Shady A Elattar is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number pr5603.

Where does Shady A Elattar practice?

The practice location is 62 W Gray RD, Gray, ME 04039-9772. The office can be reached at 207-657-2333 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356574941 directly on the NPPES registry website.

Browse related providers