Active NPI
Michelle Shipley, PHARM D
- Pharmacist
- Manteca, CA
National Provider Identifier
1316305832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH56392
- Practice address
- 629 E Yosemite Ave
Manteca, CA 95336-5801 - Phone
- (209) 823-2174
- NPI assigned
- Jan 29, 2016
- 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 | RPH56392 | CA | Primary |
Addresses
Primary practice location
629 E Yosemite Ave
Manteca, CA 95336-5801
Mailing address
629 E Yosemite Ave
Manteca, CA 95336-5801
Phone (209) 823-2174
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 |
|---|---|---|---|
| RPH56392 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BGC Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1316305832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 E YOSEMITE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953365801",
"telephone_number": "209-823-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 E YOSEMITE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953365801",
"telephone_number": "209-823-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "MICHELLE",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-29",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH56392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.