Active NPI
Jennifer Shugars
- Pharmacist
- Liberty, KY
National Provider Identifier
1245514900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 09913
- Practice address
- 1457 S Wallace Wilkinson Blvd
Liberty, KY 42539-3361 - Phone
- (606) 677-0596
- Fax
- (606) 677-0297
- NPI assigned
- Sep 29, 2011
- Last updated
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 09913 | KY | Primary |
Addresses
Primary practice location
1457 S Wallace Wilkinson Blvd
Liberty, KY 42539-3361
Mailing address
1457 S Wallace Wilkinson Blvd
Liberty, KY 42539-3361
Phone (606) 677-0596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09913 | Other | KY | PHARMACY |
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 |
|---|---|---|---|
| 09913 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1245514900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1457 S WALLACE WILKINSON BLVD",
"city": "LIBERTY",
"state": "KY",
"postal_code": "425393361",
"telephone_number": "606-677-0596",
"fax_number": "606-677-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 S WALLACE WILKINSON BLVD",
"city": "LIBERTY",
"state": "KY",
"postal_code": "425393361",
"telephone_number": "606-677-0596",
"fax_number": "606-677-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUGARS",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "09913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "09913",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.