Lynn Adele Shafer

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

TCH169394 Issued in CA

Practice address

4840 Niagara Ave
San Diego, CA 92107-3115

Phone

(619) 222-7503

Fax

(619) 222-4926

NPI assigned

Feb 28, 2022

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1205582244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOTEL CIR S UNIT D106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083305",
            "telephone_number": "619-300-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 NIAGARA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073115",
            "telephone_number": "619-222-7503",
            "fax_number": "619-222-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "LYNN",
        "middle_name": "ADELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH169394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Ryan Shaeffer
• Naseem Shafaei
• David Alexander Shafer
• Hannah Gaharan Shafer, DNAP, CRNA
• Kyla M Shafer, DPT
• Zachary Austin Shafer, IDC
• Jay Hammond Shaffer, M.D.
• Katherine Marie Shaffer, M.D.
• Ryan Alexader Shaffer
• Tamarcia S Shaffer, MPT

• Pharmacy Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.