Active NPI
Shane Uris
- Pharmacist
- Greensboro, NC
National Provider Identifier
1174997126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25684
- Practice address
- 901 E Bessemer Ave
Greensboro, NC 27405-7001 - Phone
- (336) 275-7644
- NPI assigned
- Nov 13, 2015
- Last updated
- Nov 13, 2015
- 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 | 25684 | NC | Primary |
Addresses
Primary practice location
901 E Bessemer Ave
Greensboro, NC 27405-7001
Mailing address
901 E Bessemer Ave
Greensboro, NC 27405-7001
Phone (336) 275-7644
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 |
|---|---|---|---|
| 25684 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1174997126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E BESSEMER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274057001",
"telephone_number": "336-275-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E BESSEMER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274057001",
"telephone_number": "336-275-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URIS",
"first_name": "SHANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Urgent Cares of America North Carolina Inc (FastMed Urgent Care of Greensboro - West Market Street)
- Urgent Cares of America North Carolina Inc (Fastmed Urgent Care of Greensboro)
- Urgent Cares of America North Carolina Inc
- Urgent Medical and Family Care, PA
- Miguel Angel Uribe
- Urology Specialists of the Carolinas PLLC
- Urology Specialists of the Carolinas PLLC (USGSO Pharmacy)
- Renee L Ursuy, P.A.-C
- Zachariah James Usey
- Kamilah Usoro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.