Active NPI
Robert N Shaffer, RPH
- Pharmacist
- Allentown, PA
National Provider Identifier
1154802809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP037667L
- Practice address
- 1628 S 4TH St
Allentown, PA 18103-4922 - Phone
- (610) 797-1063
- NPI assigned
- Aug 21, 2018
- Last updated
- Aug 21, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP037667L | PA | Primary |
Addresses
Primary practice location
1628 S 4TH St
Allentown, PA 18103-4922
Mailing address
1628 S 4TH St
Allentown, PA 18103-4922
Phone (610) 797-1063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP037667L | Other | PA | PA RPH STATE LICENSE NUMBER |
| RPI012087 | Other | PA | PA AUTH. TO ADMINISTER INJECTABLES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP037667L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | 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": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1154802809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 S 4TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181034922",
"telephone_number": "610-797-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 S 4TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181034922",
"telephone_number": "610-797-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "ROBERT",
"middle_name": "N",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP037667L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA RPH STATE LICENSE NUMBER",
"identifier": "RP037667L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA AUTH. TO ADMINISTER INJECTABLES",
"identifier": "RPI012087",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.