Provider Demographics
NPI:1891934899
Name:SHAPA INC
Entity Type:Organization
Organization Name:SHAPA INC
Other - Org Name:RITE CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:ZULFIQAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-317-5411
Mailing Address - Street 1:9415 BRUTON RD
Mailing Address - Street 2:STE 3103
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217
Mailing Address - Country:US
Mailing Address - Phone:214-421-2210
Mailing Address - Fax:214-421-3507
Practice Address - Street 1:9415 BRUTON RD
Practice Address - Street 2:STE 3103
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217
Practice Address - Country:US
Practice Address - Phone:214-421-2210
Practice Address - Fax:214-421-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 3336C0004X
TX26287333600000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146032Medicaid
2118993OtherPK