Lucy Shade, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04399200 Issued in NJ

Practice address

375 White Horse Pike
Atco, NJ 08004-2228

Phone

(856) 768-0911

NPI assigned

Oct 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of New Jersey Inc

  • Community/Retail Pharmacy
  • Atco, NJ
  • NPI 1275642639
  NPD (past)
• Rite Aid of New Jersey Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
  • NPI 1467561803
  NPD (past)

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1316766793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRADFORD PL",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WHITE HORSE PIKE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042228",
            "telephone_number": "856-768-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE",
        "first_name": "LUCY",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04399200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Warren Gross MD LLC
• Alex Salunga
• Shana Sandrow, D.C.
• Chad Brian Scott
• Stephanie L Serrano, MS, OTR/L
• Amber Simmons
• Michael Gerard Simon, PT
• Rashawn Smith
• Rosemarie Smith, MS, CCC-SLP
• Dawn Stone, MPT

• Pharmacist in Atco, NJ
• Providers in Atco, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.