DR. SHAFFEEULAH BACCHUS PHARM.D.
NPI 1023039070
Pharmacist - Pharmacotherapy in Freeport, NY

Q: What is Shaffeeulah Bacchus's NPI number?

The NPI number for Shaffeeulah Bacchus is 1023039070. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Shaffeeulah Bacchus's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

Active since July 22, 2006

267 W MERRICK RD, FREEPORT, NY 11520(718) 938-3274 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shaffeeulah Bacchus Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAFFEEULAH BACCHUS PHARM.D. (NPI 1023039070) is an individual pharmacotherapy provider in Freeport, New York, licensed in New York (050006) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1023039070

Entity TypeIndividualMale

Primary Taxonomy1835P1200X

Provider Legal NameDR. SHAFFEEULAH BACCHUSCredential: PHARM.D.

Location Address267 W MERRICK RDFreeport, NY 11520-3346

Mailing Address19650 69th Ave # 2Fresh Meadows, NY 11365-4033 · (718) 454-1607

Phone(718) 938-3274

Sole ProprietorYes

Enumeration DateJuly 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023039070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers

Taxonomy Code1835P1200X

License✔ Licensed in NY · 050006

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

267 W MERRICK RD, Freeport, NY 11520

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVITA OF NEW YORK INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

267 W MERRICK RD
FREEPORT, NY 11520

Nassau County (516) 379-5000

MS. NATALIE NADIA LACHMAN ARNP

Nurse Practitioner (Family)

267 W MERRICK RD
FREEPORT, NY 11520

Nassau County (800) 424-6589

NANCY JEAN PELFREY NP

Nurse Practitioner (Acute Care)

267 W MERRICK RD, SECOND FLOOR
FREEPORT, NY 11520

Nassau County (516) 379-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaffeeulah Bacchus's NPI number?

The NPI number for Shaffeeulah Bacchus is 1023039070. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Shaffeeulah Bacchus located?

Shaffeeulah Bacchus practices at 267 W Merrick Rd, Freeport, NY 11520. The listed phone number is (718) 938-3274.

What is Shaffeeulah Bacchus's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Shaffeeulah Bacchus was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.