Active NPI
Mark E. Shields, R.PH.
- Pharmacist
- Vincennes, IN
National Provider Identifier
1043443674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26014396A
- Practice address
- 520 S 7TH St
Pharmacy Department
Vincennes, IN 47591-1038 - Phone
- (812) 885-3348
- Fax
- (812) 885-3087
- NPI assigned
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26014396A | IN | Primary |
Addresses
Primary practice location
520 S 7TH St
Pharmacy Department
Vincennes, IN 47591-1038
Mailing address
520 S. 7TH Street
Pharmacy Department
Vincennes, IN 47591-1038
Phone (812) 885-3348
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26014396A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1043443674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S. 7TH STREET",
"address_2": "PHARMACY DEPARTMENT",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911038",
"telephone_number": "812-885-3348",
"fax_number": "812-885-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S 7TH ST",
"address_2": "PHARMACY DEPARTMENT",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911038",
"telephone_number": "812-885-3348",
"fax_number": "812-885-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "MARK",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26014396A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.