Active NPI
William Shallcross
- Pharmacist
- Starke, FL
National Provider Identifier
1356750368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS21468
- Practice address
- 922 E Call St
Starke, FL 32091-3616 - Phone
- (904) 368-2340
- NPI assigned
- Aug 5, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS21468 | FL | Primary |
| Pharmacist | 183500000X | 28RI01605200 | NJ | |
| Pharmacist | 183500000X | RP046100R | PA | |
| Pharmacist | 183500000X | 314 | VI | |
| Pharmacist | 183500000X | 14007 | SC |
Addresses
Primary practice location
922 E Call St
Starke, FL 32091-3616
Mailing address
922 E Call St
Starke, FL 32091-3616
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 |
|---|---|---|---|
| PS21468 | FL | MD | Pharmacist |
| 28RI01605200 | NJ | MD | Pharmacist |
| RP046100R | PA | MD | Pharmacist |
| 14007 | SC | MD | Pharmacist |
| 314 | VI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1356750368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 E CALL ST",
"city": "STARKE",
"state": "FL",
"postal_code": "320913616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 E CALL ST",
"city": "STARKE",
"state": "FL",
"postal_code": "320913616",
"telephone_number": "904-368-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALLCROSS",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS21468",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01605200",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP046100R",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VI",
"license": "314",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "14007",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starke, FL
- School Board of Bradford Co FL
- School Board of Bradford Co FL
- School Board of Bradford Co FL
- School Board of Bradford Co FL
- Rohan Devang Shah, PHARMD
- Shands Teaching Hospital and Clinics Inc
- Shands Teaching Hospital and Clinics Inc
- Lenora Sheppard, PA-C
- Bethan Shipway
- Natalia Anatolievna Shiriaeva, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.