Individual provider Active NPI

Sean Kenneth Shirk, PHARM D

  • Pharmacist
  • Oviedo, FL
National Provider Identifier
1295015774
Registry record updated Aug 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37118 Issued in FL
Practice address
85 E Mitchell Hammock Rd
Oviedo, FL 32765-9780
Phone
(407) 977-1518
Fax
(407) 977-1389
NPI assigned
Aug 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS37118 FL Primary

Addresses

Primary practice location

85 E Mitchell Hammock Rd
Oviedo, FL 32765-9780

Mailing address

85 E Mitchell Hammock Rd
Oviedo, FL 32765-9780
Phone (407) 977-1518

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS37118FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314489600000",
    "number": "1295015774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E MITCHELL HAMMOCK RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659780",
            "telephone_number": "407-977-1518",
            "fax_number": "407-977-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E MITCHELL HAMMOCK RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659780",
            "telephone_number": "407-977-1518",
            "fax_number": "407-977-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "SEAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-28",
        "last_updated": "2011-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.