Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164059119 Individual Practitioner Male Practitioner

Dr. Shane Anand Persaud , PharmD

Pharmacist • Valley Stream, NY

Professional Overview & Biography Verified Profile Summary

Dr. Shane Persaud, PharmD is a registered healthcare professional specializing in Pharmacist in Valley Stream, NY. Practice services are available at 900 FRANKLIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 Franklin Ave

Valley Stream, NY 115802145

Telephone 5162566000
Associated Practice Facility / Clinic
🏢 Franklin Hospital Facility NPI 1528075108

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Valley Stream, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
90 Specialists

Practicing in Valley Stream, NY (23779 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

CMS Verified: 2022-02-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 068783

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

40 Associated Practitioners
NPI 1003264623

Doctor of Medicine (M.D.)

Bruna Faria Martins

Physician Assistant

NPI 1013690437
Kaitlyn Roeda , PA-C

Physician Assistant

NPI 1013697218

Physician Assistant (Certified)

Jake Bresnihan

Physician Assistant

NPI 1013749753
Elisabeth Loccisano , RN, NP

Nurse Practitioner - Family

NPI 1023688173

Registered Nurse, Nurse Practitioner

Gregory Wallick

Nurse Anesthetist, Certified Registered

NPI 1023993748

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 15, 2022

Registered at 900 FRANKLIN AVE, VALLEY STREAM, NY 115802145 (Tel: 5162566000)

👤
Provider Name / Credentials Updated February 15, 2022

Recorded as SHANE PERSAUD, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2022

Pharmacist (License #068783 in NY)

NPI Profile Active March 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2020

Registered at 11546 117TH ST, SOUTH OZONE PARK, NY 114202329 (Tel: 9178285262)

📍
Updated Business Mailing Address March 26, 2020

Registered at 11546 117TH ST, SOUTH OZONE PARK, NY 114202329

👤
Provider Name / Credentials Updated March 26, 2020

Recorded as SHANE PERSAUD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2020

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration March 26, 2020

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: 1164059119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2020
Last Update: February 15, 2022
Sole Proprietor: No

Mailing Address

11546 117th St

South Ozone Park, NY 114202329

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.