Active NPI
Shaun Flores, RPH
- Pharmacist
- Santa Maria, CA
National Provider Identifier
1073024220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55227
- Practice address
- 733 E Main St
Santa Maria, CA 93454-4507 - Phone
- (805) 922-2040
- Fax
- (805) 349-0048
- NPI assigned
- Oct 16, 2017
- Last updated
- Oct 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 55227 | CA | Primary |
Addresses
Primary practice location
733 E Main St
Santa Maria, CA 93454-4507
Mailing address
2512 Castlerock LN
Santa Maria, CA 93455-1697
Phone (209) 406-4678
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | 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": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508112000000",
"number": "1073024220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 CASTLEROCK LN",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934551697",
"telephone_number": "209-406-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 E MAIN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544507",
"telephone_number": "805-922-2040",
"fax_number": "805-349-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "SHAUN",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-16",
"last_updated": "2017-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.