Shiny T George

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302037279 Issued in MI

Practice address

46850 Romeo Plank Rd
Macomb, MI 48044-3545

Phone

(586) 412-1113

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

Yes

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

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.

• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Macomb, MI
  • NPI 1093827941
  NPD (past)

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1326679994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 FAWN DR",
            "city": "OAKLAND TWP",
            "state": "MI",
            "postal_code": "483061030",
            "telephone_number": "248-881-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46850 ROMEO PLANK RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443545",
            "telephone_number": "586-412-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHINY",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generations SG Enterprise
• Genesis Chiropractic PLLC
• George Iwanow Hearing Aid Centers Inc
• Gincy George, O.D.
• John Evans George, D.D.S.
• Faye Angeli Mae Guevara Geroche
• Jean-Luc Gilbert, M.A. CCC-SLP
• Taylor Girvan, CRNA
• Bobbi Jo Goodwine, PT, DPT, OMPT, CLT
• Tarnisha Gordon, LCSW

• Pharmacist in Macomb, MI
• Providers in Macomb, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.