Active NPI
Shaleshanda Lightbourne, PHARM.D.
- Pharmacist
- Miami, FL
National Provider Identifier
1316220957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41474
- Practice address
- 3490 Bird Ave
Miami, FL 33133-4301 - Phone
- (305) 446-5037
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 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 | PS41474 | FL | Primary |
Addresses
Primary practice location
3490 Bird Ave
Miami, FL 33133-4301
Mailing address
3490 Bird Ave
Miami, FL 33133-4301
Phone (305) 446-5037
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS41474 | FL | MD | Pharmacist |
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": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1316220957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3490 BIRD AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334301",
"telephone_number": "305-446-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 BIRD AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334301",
"telephone_number": "305-446-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTBOURNE",
"first_name": "SHALESHANDA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Light of Hope Behavior Therapy Inc (Light of Hope Medical Center)
- Light of Hope Behavior Therapy Inc (Light of Hope Medical Center)
- Light of Hope Behavior Therapy Inc
- Taylor Morgan Light, DDS
- Theresa Lightbody, A.R.N.P.
- Lighthouse Care Registry LLC
- Lighthouse CMHC
- Lighthouse CMHC of North Dade
- Lighthouse CMHC of North Dade (Lighthouse CMHC of N Dade)
- Lighthouse Medical Equipment Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.