MR. RUBIN B SHAH (NPI# 1104073600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104073600 |
| Entity Type | Individual |
| Full Name | MR. RUBIN B SHAH |
| Credential | PHARM D |
| Practice Address |
10631 Grandview Dr Palos Park IL 60464-2580 |
| Practice Telephone | 7083344211 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2011-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
051.039437 | IL | Pharmacy Service Providers |
| Street Address |
10631 GRANDVIEW DR |
| City | PALOS PARK |
| State | IL |
| Zip Code | 60464-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760780209 | Geriaric Care Consultants | Case Management | 10631 Grandview Dr, Palos Park, IL 60464-2580 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518456102 | Lisa Kay York | Behavior Technician | 8207 Il-83, Palos Park, IL 60464 | 2018-05-09 |
| 1972000479 | Elizabeth Faye Putman | Physical Therapy Assistant | 10300 Village Cir Dr, Peace Village, Palos Park, IL 60464 | 2018-04-11 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1376677625 | Palos C C S D 118 | Local Education Agency (LEA) | 8800 West 119th Street, Palos Park, IL 60464 | 2007-03-16 |
| 1730233297 | Rajitha Lakshmi Avva | Psychiatry & Neurology | Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 | 2007-01-22 |
| 1487714671 | Maple Park Dental Care, P.C. | Dentist | 1048 104th Street, #108, Naperville, IL 60464 | 2006-12-11 |
| 1912065418 | David M Kozal | Dentist | 11900 Sw Hwy, Palos Park, IL 60464 | 2006-12-05 |
| 1598845422 | Michele Antoinette Nealon Woods | Psychologist | Palos Behavioral Health Professionals, 103011 S 104th Ave Suite 200, Palos Park, IL 60464 | 2006-10-16 |
| 1679683585 | Linda G Baer | Psychologist | 13011 104th Ave, Suite 200, Palos Park, IL 60464 | 2006-08-30 |
| 1578507430 | Hugh Michael Oneill | Family Medicine | 14741 Ravinia Ave, Orland Park, IL 60464 | 2006-06-15 |
| Find all providers in zip 60464 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336702125 | Edgar Auf Dem Graben | Pharmacist | 100 N River Rd Ste G122, Des Plaines, IL 60016-1209 | 2019-04-17 |
| 1467969402 | Hilda Dolapo Hassan | Pharmacist | 2937 Shetland Ln, Montgomery, IL 60538-4104 | 2017-12-29 |
| 1578999348 | Ihuoma C Ozoh | Pharmacist | 18331 Mulberry Terrace, Country Club Hills, IL 60478 | 2013-09-24 |
| 1649619016 | Joel Jay Meyers | Pharmacist | 3107 W Jerome St, Chicago, IL 60645-1142 | 2013-06-19 |
| 1902249790 | Alfredo Villasenor | Pharmacist | 233 Berkshire Dr, Lake Villa, IL 60046-5051 | 2013-04-10 |
| 1730446881 | Bhupendra S Vyas | Pharmacist | 8001 N. Lincoln Ave # 800, C/o Rph On The Go Suite 800, Skokie, IL 60077 | 2012-04-13 |
| 1679848618 | Mark Sly | Pharmacist | 403 N Veterans Pkwy, Bloomington, IL 61704-7718 | 2012-03-08 |
| 1346521333 | Chhaya Patel | Pharmacist | 728 S Taylor Ave, Oak Park, IL 60304-1624 | 2011-09-02 |
| 1780988535 | Mark Norman Gravdal | Pharmacist | 297 Cascade Dr, Crystal Lake, IL 60012-3345 | 2011-01-07 |
| 1972827293 | Cindy Sue Porter | Pharmacist | 2150 N Lincoln Park W, #1411, Chicago, IL 60614-4652 | 2010-03-15 |
| Find all providers with the same taxonomy | ||||
| City | PALOS PARK |
| Zip Code | 60464 |
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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.