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Active NPI 1356574941 Individual Practitioner Male Practitioner

Shady Aly Ismail Elattar

Pharmacist • Gray, ME

Professional Overview & Biography Verified Profile Summary

Shady Elattar is a registered healthcare professional specializing in Pharmacist in Gray, ME. Practice services are available at 62 W GRAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

62 W Gray Rd

Gray, ME 040399772

Telephone 2076572333
Associated Practice Facility / Clinic
🏢 Walgreen Eastern Co Inc Facility NPI 1629593694

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Gray, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Gray, ME (1393 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ME PR5603

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1679747810
NPI 1861706277

Registered Pharmacist

NPI 1942329701

Doctor of Pharmacy (Pharm.D.), Master of Business Administration

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2009

Registered at 62 W GRAY RD, GRAY, ME 040399772 (Tel: 2076572333)

📍
Updated Business Mailing Address August 28, 2009

Registered at 15 LEDGES CT, LEWISTON, ME 042401851 (Tel: 2074239986)

👤
Provider Name / Credentials Updated August 28, 2009

Recorded as SHADY ELATTAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2009

Pharmacist (License #PR5603 in ME)

🟢
Initial NPI Registration & Enumeration August 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356574941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2009
Last Update: August 28, 2009
Sole Proprietor: Yes

Mailing Address

15 Ledges Ct

Lewiston, ME 042401851

Phone: 2074239986

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.