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MID WEST MEDICAL PHARMACY
NPI 1114901014
Pharmacy - Community/Retail Pharmacy in West Hollywood, CA

Active since December 04, 2005
8733 BEVERLY BLVD, STE 100, WEST HOLLYWOOD, CA 90048(310) 657-1635(310) 657-5455 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2021, Aug 16, 2016, Aug 10, 2016 (3 updates tracked since 2016).

About Mid West Medical Pharmacy NPPES

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

MID WEST MEDICAL PHARMACY (NPI 1114901014) is a healthcare organization registered as a community/retail pharmacy in West Hollywood, California and active in the NPI registry since December 2005. The organization lists Tom Shafa, Owner, Pic, Ao, as its authorized official.

NPPES Registry Identity

NPI1114901014
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTURAJ TOM SHAFA
Location Address8733 BEVERLY BLVD, STE 100West Hollywood, CA 90048-1890
Mailing Address8733 Beverly Blvd, Ste 100West Hollywood, CA 90048-1890 · (310) 657-1635 · Fax (310) 657-5455
Phone(310) 657-1635
Fax(310) 657-5455
Organization SubpartNo
Authorized OfficialTom ShafaOwner, Pic, Ao · (310) 657-1635
Enumeration DateDecember 4, 2005
Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1114901014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY22051
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
8733 BEVERLY BLVD, West Hollywood, CA 90048
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Other Names 1

Doing Business AsMid West Medical Pharmacy

Other Identifiers 2

Other2002290Pk
MedicaidPHA220510CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid West Medical Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20211221002774Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

JOANNA JOSUE
Nurse Practitioner (Family)
8733 BEVERLY BLVD, SUITE 408
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 295-2255
MRS. LILLY GIUSTI
Pharmacy Technician
8733 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (310) 657-1635
JEROME LIPIN M.D.
Pediatrics
8733 BEVERLY BLVD, SUITE 200
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 652-3981
DENISE MARIE MOORE FNP-BC
Nurse Practitioner (Primary Care)
8733 BEVERLY BLVD, SUITE 408
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 295-2255
PERRY ALAN MEIER
Radiologic Technologist (Vascular Sonography)
8733 BEVERLY BLVD, SUITE 306
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 854-6450
DR. JEFFREY NATHAN GRANT MD
Internal Medicine
8733 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 659-4511
NEUFELD MEDICAL GROUP
Pediatrics (Pediatric Endocrinology)
8733 BEVERLY BLVD, SUITE 202
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 652-3976
RENAISSANCE HEALTH SERVICES
Family Medicine (Adult Medicine)
8733 BEVERLY BLVD, #408
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 360-0280

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 Turaj Tom Shafa's NPI number?

The NPI number for Turaj Tom Shafa is 1114901014. It was assigned to this organization in the NPPES registry on December 4, 2005. The provider is doing business as Mid West Medical Pharmacy.

Where is Turaj Tom Shafa located?

Turaj Tom Shafa is located at 8733 Beverly Blvd Ste 100, West Hollywood, CA 90048. The listed phone number is (310) 657-1635.

What is Turaj Tom Shafa's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Turaj Tom Shafa enrolled in Medicare?

Yes. Turaj Tom Shafa is registered in the Medicare PECOS enrollment system.

When is Turaj Tom Shafa's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Mass Immunization (Roster Biller Only)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Turaj Tom Shafa accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 45 other insurers list Turaj Tom Shafa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Turaj Tom Shafa was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.