Individual provider Active NPI

Shea Barbara Vanvuuren, PHARM. D.

  • Pharmacist
  • Chelsea, MI
National Provider Identifier
1063587798
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302029472 Issued in MI
Practice address
14650 East Old US 12
Chelseacare Pharmacy
Chelsea, MI 48118-1383
Phone
(734) 593-5900
Fax
(734) 593-5905
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302029472 MI Primary

Addresses

Primary practice location

14650 East Old US 12
Chelseacare Pharmacy
Chelsea, MI 48118-1383

Mailing address

16038 Black Sheep LN
Manchester, MI 48158-9480
Phone (734) 428-0230

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
5302029472MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1063587798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16038 BLACK SHEEP LN",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589480",
            "telephone_number": "734-428-0230",
            "fax_number": "734-593-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 EAST OLD US 12",
            "address_2": "CHELSEACARE PHARMACY",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181383",
            "telephone_number": "734-593-5900",
            "fax_number": "734-593-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVUUREN",
        "first_name": "SHEA",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.