Active NPI
Lynn Ann Shea, RPH, CDOE, CVDOE
- Pharmacist
- Coventry, RI
National Provider Identifier
1053539809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3600
- Practice address
- 220 Weaver Hill Rd
Coventry, RI 02816-4616 - Phone
- (401) 451-5574
- NPI assigned
- Apr 24, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3600 | RI | Primary |
Addresses
Primary practice location
220 Weaver Hill Rd
Coventry, RI 02816-4616
Mailing address
220 Weaver Hill Rd
Coventry, RI 02816-4616
Phone (401) 451-5574
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 |
|---|---|---|---|
| 3600 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1053539809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WEAVER HILL RD",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028164616",
"telephone_number": "401-451-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WEAVER HILL RD",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028164616",
"telephone_number": "401-451-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "LYNN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH, CDOE, CVDOE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "3600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.