Individual provider Active NPI

Shaylynn Teal-Canty, PHARMD, RPH

  • Pharmacist
  • Bridgeton, NJ
National Provider Identifier
1063945780
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03160600 Issued in NJ
Practice address
9 Landis Ave
Bridgeton, NJ 08302-4315
Phone
(856) 451-4169
NPI assigned
Apr 10, 2017
Reactivated
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03160600 NJ Primary
Pharmacist 183500000X RP442093 PA

Addresses

Primary practice location

9 Landis Ave
Bridgeton, NJ 08302-4315

Mailing address

58 Bryces CT
Sicklerville, NJ 08081-1676
Phone (267) 253-3313

Other names 1

  • Shay Canty Professional name

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI03160600NJMDPharmacist
RP442093PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Apr 9, 2023 Accepting new patients
Walgreen Co PastSince Apr 9, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1063945780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BRYCES CT",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811676",
            "telephone_number": "267-253-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LANDIS AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083024315",
            "telephone_number": "856-451-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL-CANTY",
        "first_name": "SHAYLYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "deactivation_date": "2017-04-19",
        "reactivation_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03160600",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAY",
            "last_name": "CANTY",
            "credential": "PHARMD, RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.