Healthcare Provider Details

I. General information

NPI: 1528978988
Provider Name (Legal Business Name): AMIT SHAH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PEPPERELL PKWY
OPELIKA AL
36801-5452
US

IV. Provider business mailing address

2163 CARDINAL LN
AUBURN AL
36879-5404
US

V. Phone/Fax

Practice location:
  • Phone: 334-749-3411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number19953
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: