David J Shapiro, R.PH.
Individual provider Active NPI Pharmacist · Friendship, WI
NPI 1194846600 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194846600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10212-040 (WI)
- Practice address
- 402 W Lake St
Friendship, WI 53934 - Phone
- (608) 339-8367
- Fax
- (608) 339-8330
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10212-040 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10212-040 | WI | Yes |
Addresses
Primary practice location
402 W Lake St
Friendship, WI 53934
Mailing address
977 N Grouse LN
Wisconsin Dells, WI 53965-8945
Phone (608) 253-3950
NPI Registry JSON
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194846600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 N GROUSE LN",
"city": "WISCONSIN DELLS",
"state": "WI",
"postal_code": "539658945",
"telephone_number": "608-253-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W LAKE ST",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "53934",
"telephone_number": "608-339-8367",
"fax_number": "608-339-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10212-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Friendship, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.