Active NPI
Paige Shepherd
- Pharmacist
- Clinton, NJ
National Provider Identifier
1346845807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03873300
- Practice address
- 50 Walmart PLZ
Clinton, NJ 08809-1264 - Phone
- (908) 730-6555
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 | RP453134 | PA | |
| Pharmacist | 183500000X | 28RI03873300 | NJ | Primary |
Addresses
Primary practice location
50 Walmart PLZ
Clinton, NJ 08809-1264
Mailing address
55 Ballek Rd
Riegelsville, PA 18077-9605
Other practice location 1
20 Race St
Frenchtown, NJ 08825-1012
Phone (908) 996-2641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073296 | Medicaid | NJ |
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 |
|---|---|---|---|
| 28RI03873300 | NJ | MD | Pharmacist |
| RP453134 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shop Rite of Hunterdon County Inc | Past | Accepting new patients | |
| Frenchtown Drug Store Inc | Past | Accepting new patients | |
| Shoprite of Hunterdon County Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Frenchtown, NJ
- NPI 1437292281
-
- Community/Retail Pharmacy
- Clinton, NJ
- NPI 1700929833
-
- Community/Retail Pharmacy
- Easton, PA
- NPI 1790178929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1346845807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BALLEK RD",
"city": "RIEGELSVILLE",
"state": "PA",
"postal_code": "180779605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WALMART PLZ",
"city": "CLINTON",
"state": "NJ",
"postal_code": "088091264",
"telephone_number": "908-730-6555"
}
],
"practiceLocations": [
{
"address_1": "20 Race St",
"address_purpose": "LOCATION",
"city": "Frenchtown",
"state": "NJ",
"postal_code": "088251012",
"country_code": "US",
"telephone_number": "908-996-2641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPHERD",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453134",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03873300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0073296",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.