Active NPI
Shirley Duncan
- Pharmacist
- Modesto, CA
National Provider Identifier
1316375934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8859
- Practice address
- 2941 Parkview Dr
Modesto, CA 95355-4140 - Phone
- (209) 572-3482
- NPI assigned
- Oct 16, 2013
- Last updated
- Oct 16, 2013
- 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 | 38809 | CA | |
| Pharmacist | 183500000X | 8859 | NV | Primary |
Addresses
Primary practice location
2941 Parkview Dr
Modesto, CA 95355-4140
Mailing address
2941 Parkview Dr
Modesto, CA 95355-4140
Phone (209) 572-3482
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 |
|---|---|---|---|
| 38809 | CA | MD | Pharmacist |
| 8859 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1316375934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2941 PARKVIEW DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554140",
"telephone_number": "209-572-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2941 PARKVIEW DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554140",
"telephone_number": "209-572-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "SHIRLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "38809",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "8859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.