Individual provider Active NPI

James Brian Shovlin, R.PH.

  • Pharmacist
  • Oneida, NY
National Provider Identifier
1346565454
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
030602 Issued in NY
Practice address
507 Lenox Ave
Oneida, NY 13421-1521
Phone
(315) 363-1750
Fax
(315) 361-1099
NPI assigned
Mar 31, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 030602 NY Primary

Addresses

Primary practice location

507 Lenox Ave
Oneida, NY 13421-1521

Mailing address

507 Lenox Ave
Oneida, NY 13421-1521
Phone (315) 363-1750

Other identifiers 1

IdentifierTypeStateIssuer
1588729909MedicaidNY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
030602NYMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1346565454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 LENOX AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211521",
            "telephone_number": "315-363-1750",
            "fax_number": "315-361-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 LENOX AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211521",
            "telephone_number": "315-363-1750",
            "fax_number": "315-361-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOVLIN",
        "first_name": "JAMES",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588729909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.