Active NPI
Jacqueline Shields
- Pharmacist
- Miami Lakes, FL
National Provider Identifier
1124618145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41262
- Practice address
- 8863 NW 180TH Ter
Miami Lakes, FL 33018-6504 - Phone
- (786) 556-4604
- NPI assigned
- Jan 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41262 | FL | Primary |
Addresses
Primary practice location
8863 NW 180TH Ter
Miami Lakes, FL 33018-6504
Mailing address
8863 NW 180TH Ter
Miami Lakes, FL 33018-6504
Phone (786) 556-4604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41262 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611360000000",
"number": "1124618145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8863 NW 180TH TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330186504",
"telephone_number": "786-556-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8863 NW 180TH TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330186504",
"telephone_number": "786-556-4604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-23",
"last_updated": "2021-01-23",
"certification_date": "2021-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.