What is Shady Ebbo's NPI number?

Shady Ebbo's National Provider Identifier (NPI) is 1740136936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shady Ebbo's specialty?

Shady Ebbo is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Shady Ebbo located?

Shady Ebbo's practice location on file with NPPES is 5623 Kanan Rd, Agoura Hills, CA 91301-3358.

What is Shady Ebbo's phone number?

The practice phone number listed in the NPPES registry for Shady Ebbo is (818) 991-5522.

Is Shady Ebbo's NPI active?

Yes — Shady Ebbo's NPI (1740136936) is active in the NPPES registry as of the last update on 2026-03-09.

IndividualActive

Shady Ebbo

NPI 1740136936 · Pharmacist · Agoura Hills, CA

Shady Ebbo is a Pharmacist provider in Agoura Hills, CA (NPI 1740136936).

Provider details

NPI number: 1740136936
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: 91994 (CA)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 91994 (CA)
Pharmacy Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

5623 Kanan Rd

Agoura Hills, CA 91301-3358

Phone: (818) 991-5522

Street-level locationGet directions

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Mailing address