Individual provider Active NPI

Marye Thompson Shelton, PHARMD

  • Pharmacist
  • Plantation, FL
National Provider Identifier
1043430424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS22734 Issued in FL
Practice address
4100 S Hospital Dr
Suite 309
Plantation, FL 33317-2813
Phone
(954) 327-6013
Fax
(954) 321-3763
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS22734 FL Primary

Addresses

Primary practice location

4100 S Hospital Dr
Suite 309
Plantation, FL 33317-2813

Mailing address

3301 NW 23Rd St
Lauderdale Lakes, FL 33311-2719
Phone (954) 327-6013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS22734FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Doh Broward County Public Health Unit Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043430424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NW 23RD ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333112719",
            "telephone_number": "954-327-6013",
            "fax_number": "954-321-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S HOSPITAL DR",
            "address_2": "SUITE 309",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172813",
            "telephone_number": "954-327-6013",
            "fax_number": "954-321-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MARYE",
        "middle_name": "THOMPSON",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS22734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.