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

LicenseStateTypeSpecialty
10212-040WIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Friendship, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.