Healthcare Provider Details

I. General information

NPI: 1396026878
Provider Name (Legal Business Name): RUSHABH R SHAH PHARMD/ MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 BUSH ST FL 4
SAN FRANCISCO CA
94104-2854
US

IV. Provider business mailing address

333 BUSH ST FL 4
SAN FRANCISCO CA
94104-2854
US

V. Phone/Fax

Practice location:
  • Phone: 415-490-0536
  • Fax:
Mailing address:
  • Phone: 415-490-0536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67306
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.295298
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: