Individual provider Active NPI

Shelby Rae Wears, PHARMD

  • Pharmacist
  • Garner, NC
National Provider Identifier
1386979367
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18410 Issued in NC
Practice address
825 Timber Dr
Garner, NC 27529-4849
Phone
(919) 661-7344
NPI assigned
Oct 8, 2009
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
18410NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Mar 6, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18410 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

825 Timber Dr
Garner, NC 27529-4849

Mailing address

4247 Avent Ferry Rd
Apt 1
Raleigh, NC 27606-4721
Phone (919) 414-5265

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0920056MedicaidNC
7704739OtherNCMEDICAID DME

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2009.

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1386979367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 AVENT FERRY RD",
            "address_2": "APT 1",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064721",
            "telephone_number": "919-414-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294849",
            "telephone_number": "919-661-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEARS",
        "first_name": "SHELBY",
        "middle_name": "RAE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920056",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "7704739",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.