Provider Demographics
NPI:1164143707
Name:SHAMMAS, SERENA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SERENA
Middle Name:
Last Name:SHAMMAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 LEWANDOWSKI ST
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-2540
Mailing Address - Country:US
Mailing Address - Phone:201-438-7835
Mailing Address - Fax:
Practice Address - Street 1:425 LEWANDOWSKI ST
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-2540
Practice Address - Country:US
Practice Address - Phone:201-819-3602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04268400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist