Individual provider Active NPI

Belinda Pruett Shipp, PHARMACIST

  • Pharmacist
  • Austin, TX
National Provider Identifier
1295056760
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21168 Issued in TX
Practice address
6911 Ranch Road 620 N
Walgreens
Austin, TX 78732-1920
Phone
(512) 219-8533
Fax
(512) 219-8529
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21168 TX Primary

Addresses

Primary practice location

6911 Ranch Road 620 N
Walgreens
Austin, TX 78732-1920

Mailing address

6911 Ranch Road 620 N
Walgreens
Austin, TX 78732-1920
Phone (512) 219-8533

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

LicenseStateTypeSpecialty
21168TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1295056760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 RANCH ROAD 620 N",
            "address_2": "WALGREENS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321920",
            "telephone_number": "512-219-8533",
            "fax_number": "512-219-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 RANCH ROAD 620 N",
            "address_2": "WALGREENS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321920",
            "telephone_number": "512-219-8533",
            "fax_number": "512-219-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "BELINDA",
        "middle_name": "PRUETT",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "21168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.