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DR. SHUBI SHAHIDA
NPI 1346491198
Non-Pharmacy Dispensing Site in Smithfield, NC

Active since October 09, 2008CLIA 34D1055243 · Waiver
712 WILKINS ST STE A, SMITHFIELD, NC 27577(919) 989-9109 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shubi Shahida NPPES

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

DR. SHUBI SHAHIDA (NPI 1346491198) is a healthcare organization registered as a non-pharmacy dispensing site in Smithfield, North Carolina and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1346491198
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDR. SHUBI SHAHIDA
Location Address712 WILKINS ST STE ASmithfield, NC 27577-4664
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(919) 989-9109
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateOctober 9, 2008
Last NPPES UpdateOctober 23, 2012
✔ NPI 1346491198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in NC · 2005-01514
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

712 WILKINS ST STE A, Smithfield, NC 27577
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1055243

Shubi Shahida MD PC · Smithfield, NC
Active · expires Jun 12, 2028
CLIA Number34D1055243
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorShubi Shahida MD
Laboratory Phone(919) 989-9109
Laboratory LocationShubi Shahida MD PC712-A Wilkins St, Smithfield, NC 27577
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dr. Shubi Shahida's NPI number?

The NPI number for Dr. Shubi Shahida is 1346491198. It was assigned to this organization in the NPPES registry on October 9, 2008.

Where is Dr. Shubi Shahida located?

Dr. Shubi Shahida is located at 712 Wilkins St Ste A, Smithfield, NC 27577. The listed phone number is (919) 989-9109.

What is Dr. Shubi Shahida's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Dr. Shubi Shahida hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1055243) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. Shubi Shahida was last updated on October 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.