Active NPI
Randall R Shope, RPH, MBA
- Geriatric Pharmacist
- Altoona, PA
National Provider Identifier
1114047396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RP031336L
- Practice address
- 2621 8TH Ave
Altoona, PA 16602-2044 - Phone
- (814) 949-4272
- Fax
- (814) 949-4274
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RP031336L | PA | Primary |
Addresses
Primary practice location
2621 8TH Ave
Altoona, PA 16602-2044
Mailing address
128 Queen Anne Dr
Hollidaysburg, PA 16648-9228
Phone (814) 696-4128
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP031336L | PA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114047396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 QUEEN ANNE DR",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166489228",
"telephone_number": "814-696-4128",
"fax_number": "814-949-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 8TH AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166022044",
"telephone_number": "814-949-4272",
"fax_number": "814-949-4274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOPE",
"first_name": "RANDALL",
"middle_name": "R",
"credential": "RPH, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PA",
"license": "RP031336L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.