Active NPI
Shane M Nye, PHARMD
- Pharmacist
- Toppenish, WA
National Provider Identifier
1346223682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5664130-1701
- Practice address
- 401 Buster Rd
Yakama Indian Health Center
Toppenish, WA 98948 - Phone
- (509) 862-1703
- NPI assigned
- Nov 21, 2005
- Last updated
- Dec 15, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 5664130-1701 | UT | Primary |
Addresses
Primary practice location
401 Buster Rd
Yakama Indian Health Center
Toppenish, WA 98948
Mailing address
871 Blue Goose Rd
Zillah, WA 98953-9190
Phone (590) 865-2311
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 |
|---|---|---|---|
| 5664130-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1346223682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 BLUE GOOSE RD",
"city": "ZILLAH",
"state": "WA",
"postal_code": "989539190",
"telephone_number": "590-865-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BUSTER RD",
"address_2": "YAKAMA INDIAN HEALTH CENTER",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "98948",
"telephone_number": "509-862-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYE",
"first_name": "SHANE",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "5664130-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.