Active NPI
John Shea
- Pharmacist
- Jupiter, FL
National Provider Identifier
1235416231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0030473
- Practice address
- 4050 US Highway 1
Jupiter, FL 33477-1123 - Phone
- (561) 627-8334
- Fax
- (561) 627-9413
- NPI assigned
- Nov 4, 2011
- Last updated
- Nov 4, 2011
- 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 | PS0030473 | FL | Primary |
Addresses
Primary practice location
4050 US Highway 1
Jupiter, FL 33477-1123
Mailing address
4050 US Hwy 1
Jupiter, FL 33477
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 |
|---|---|---|---|
| PS0030473 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1235416231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 US HWY 1",
"city": "JUPITER",
"state": "FL",
"postal_code": "33477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 US HIGHWAY 1",
"city": "JUPITER",
"state": "FL",
"postal_code": "334771123",
"telephone_number": "561-627-8334",
"fax_number": "561-627-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0030473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
- Sharon Vitale PA (Mobile Wound and Skin Practitioners)
- Shauna Kranendonk LLC (Skye Center for Dermatology)
- David Shaw
- Anthony Shaya, MD
- Irina Shchepina, APRN
- Rachel Shea, L.M.T.
- Tasmina Sheikh, MD
- Arathi Shekhat, MFT
- Sheridan Children's Healthcare Services, Inc
- Sheridan Emergency Physician Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.