Provider Demographics
NPI:1447555792
Name:JIWA-THOMAS, SHEMINA ALLAUDIN (RPH)
Entity type:Individual
Prefix:
First Name:SHEMINA
Middle Name:ALLAUDIN
Last Name:JIWA-THOMAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SHEMINA
Other - Middle Name:ISMAIL
Other - Last Name:DAWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1829 MILL CHASE LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6947
Mailing Address - Country:US
Mailing Address - Phone:704-256-3909
Mailing Address - Fax:
Practice Address - Street 1:8157 KENSINGTON DR.
Practice Address - Street 2:HARRIS TEETER (PHARMACY FLOATER FOR NORTH CAROLINA AND
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173
Practice Address - Country:US
Practice Address - Phone:704-243-1238
Practice Address - Fax:704-243-7853
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC132261835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist