Individual provider Active NPI

Shea Michelle Harrel

  • Pharmacist
  • Blue Springs, MO
National Provider Identifier
1376147330
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2000165335 Issued in MO
Practice address
1616 N 7 Hwy
Blue Springs, MO 64014-1936
Phone
(816) 228-6848
Fax
(816) 228-6953
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2000165335 MO Primary

Addresses

Primary practice location

1616 N 7 Hwy
Blue Springs, MO 64014-1936

Mailing address

1616 N 7 Hwy
Blue Springs, MO 64014-1936
Phone (816) 228-6848

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

LicenseStateTypeSpecialty
2000165335MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1376147330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640141936",
            "telephone_number": "816-228-6848",
            "fax_number": "816-228-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640141936",
            "telephone_number": "816-228-6848",
            "fax_number": "816-228-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARREL",
        "first_name": "SHEA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2000165335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.