Active NPI
Timothy O'Shea, PHARMD, RPH
- Pharmacist
- Montgomery, NY
National Provider Identifier
1366970972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I062775-1
- Practice address
- 2084 State Route 208
Montgomery, NY 12549-2611 - Phone
- (845) 769-9203
- NPI assigned
- May 25, 2017
- 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 | I062775-1 | NY | Primary |
Addresses
Primary practice location
2084 State Route 208
Montgomery, NY 12549-2611
Mailing address
2084 State Route 208
Montgomery, NY 12549-2611
Phone (845) 769-9203
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I062775-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2084 State Route 208
Montgomery, NY 12549
Phone (845) 769-9203
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": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366970972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2084 STATE ROUTE 208",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125492611",
"telephone_number": "845-769-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 STATE ROUTE 208",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125492611",
"telephone_number": "845-769-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SHEA",
"first_name": "TIMOTHY",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I062775-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.