Healthcare Provider Details

I. General information

NPI: 1821271875
Provider Name (Legal Business Name): NORA M SHARA PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 E THOMAS RD
PHOENIX AZ
85018-7614
US

IV. Provider business mailing address

1612 MONTVALE GRANT WAY
CARY NC
27519-1018
US

V. Phone/Fax

Practice location:
  • Phone: 602-952-1491
  • Fax: 602-952-1491
Mailing address:
  • Phone: 585-216-5421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS026991
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: