Active NPI
Kirt R Shipley, PHARMD
- Pharmacist
- Ironton, OH
National Provider Identifier
1114474665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03232908
- Practice address
- 1848 St RT 141
Ironton, OH 45638 - Phone
- (740) 533-9215
- Fax
- (740) 533-9426
- NPI assigned
- Sep 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03232908 | OH | Primary |
| Pharmacist | 183500000X | RP0009707 | WV |
Addresses
Primary practice location
1848 St RT 141
Ironton, OH 45638
Mailing address
216 PVT Rd 10930
Pedro, OH 45659
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03232908 | OH | MD | Pharmacist |
| RP0009707 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1114474665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 PVT RD 10930",
"city": "PEDRO",
"state": "OH",
"postal_code": "45659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1848 ST RT 141",
"city": "IRONTON",
"state": "OH",
"postal_code": "45638",
"telephone_number": "740-533-9215",
"fax_number": "740-533-9426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "KIRT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03232908",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.