Active NPI
Marie Lewis Shuford
- Pharmacist
- Fort Mill, SC
National Provider Identifier
1255653275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10103
- Practice address
- 1716 Pleasant Rd
Fort Mill, SC 29708-7815 - Phone
- (803) 802-7644
- NPI assigned
- Feb 17, 2010
- Last updated
- Feb 17, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10103 | NC | Primary |
| Pharmacist | 183500000X | 11696 | SC |
Addresses
Primary practice location
1716 Pleasant Rd
Fort Mill, SC 29708-7815
Mailing address
1719 Cavendish CT
Charlotte, NC 28211-3945
Phone (704) 364-9815
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 |
|---|---|---|---|
| 10103 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1255653275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 CAVENDISH CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282113945",
"telephone_number": "704-364-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 PLEASANT RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087815",
"telephone_number": "803-802-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUFORD",
"first_name": "MARIE",
"middle_name": "LEWIS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10103",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.