Active NPI
Valari Kim Shanks, PHARMACIST
- Pharmacist
- Rio Rancho, NM
National Provider Identifier
1356574487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00005714
- Practice address
- 1941 Southern Blvd SE
Rio Rancho, NM 87124-3510 - Phone
- (505) 891-8186
- Fax
- (505) 892-8017
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | RP00005714 | NM | Primary |
Addresses
Primary practice location
1941 Southern Blvd SE
Rio Rancho, NM 87124-3510
Mailing address
1941 Southern
Rio Rancho, NM 87124
Phone (505) 891-9186
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 |
|---|---|---|---|
| RP00005714 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1356574487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 SOUTHERN",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87124",
"telephone_number": "505-891-9186",
"fax_number": "505-892-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 SOUTHERN BLVD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243510",
"telephone_number": "505-891-8186",
"fax_number": "505-892-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKS",
"first_name": "VALARI",
"middle_name": "KIM",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00005714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.