Active NPI
Marcia A Shaffer, RPH
- Pharmacotherapy Pharmacist
- Lafayette, IN
National Provider Identifier
1043622350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26018391A
- Practice address
- 4901 State Road 26 E
Lafayette, IN 47905-4611 - Phone
- (765) 449-9233
- Fax
- (765) 449-9265
- NPI assigned
- May 21, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26018391A | IN | Primary |
Addresses
Primary practice location
4901 State Road 26 E
Lafayette, IN 47905-4611
Mailing address
4901 State Road 26 E
Lafayette, IN 47905-4611
Phone (765) 449-9233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26018391A | Other | IN | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 26018391A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1043622350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 STATE ROAD 26 E",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054611",
"telephone_number": "765-449-9233",
"fax_number": "765-449-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 STATE ROAD 26 E",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054611",
"telephone_number": "765-449-9233",
"fax_number": "765-449-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "MARCIA",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26018391A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "26018391A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.