Individual provider Active NPI

Jeffery A Shick, R.PH.

  • Pharmacist
  • Bethesda, MD
National Provider Identifier
1053586024
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-1-22336 Issued in OH
Practice address
4500 E West Hwy Ste 900
Bethesda, MD 20814-3417
Phone
(301) 657-3000
NPI assigned
Apr 29, 2008
Last updated
Aug 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-1-22336 OH Primary

Addresses

Primary practice location

4500 E West Hwy Ste 900
Bethesda, MD 20814-3417

Mailing address

1351 Maryland Ave NE
Washington, DC 20002-4407
Phone (202) 396-1458

Other practice location 1

7272 Wisconsin Ave
Bethesda, MD 20814-4836
Phone (301) 657-3000

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

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1053586024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 MARYLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024407",
            "telephone_number": "202-396-1458",
            "fax_number": "301-634-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E WEST HWY STE 900",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143417",
            "telephone_number": "301-657-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7272 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208144836",
            "country_code": "US",
            "telephone_number": "301-657-3000",
            "fax_number": "301-634-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHICK",
        "first_name": "JEFFERY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-22336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.