Shields Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2007022190 Issued in MO

Legal business name

SHIELDS PHARMACY, INC.

Doing business as

Shields Pharmacy-Strafford

Practice address

423 E Old Route 66
Strafford, MO 65757-7817

Phone

(417) 736-9781

Fax

(417) 736-9783

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Carter Counts, PHARM.D.

Title

Manager

Phone

(417) 736-9781

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SHIELDS PHARMACY-STRAFFORD Doing business as

Tax ID family

Shield Phcy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shield Phcy Inc

  dba Shields Pba Pharmacy

  • Long Term Care Pharmacy
  • Marshfield, MO
  • NPI 1881788297
  NPD tax ID

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1407046287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CRITTENDEN ST",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062121",
            "telephone_number": "417-468-2046",
            "fax_number": "417-468-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E OLD ROUTE 66",
            "city": "STRAFFORD",
            "state": "MO",
            "postal_code": "657577817",
            "telephone_number": "417-736-9781",
            "fax_number": "417-736-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "COUNTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-736-9781",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "2007022190",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2007022190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2637493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIELDS PHARMACY-STRAFFORD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Clinic Springfield Communities (Mercy Clinic-Strafford)
• N & R of Strafford, Inc. (Strafford Care Center)
• Rehab Care
• Shawnie S. Rice, MD
• Megan Richardson, MA, CCC-SLP
• Smith Management Services, LLC (Family Pharmacy #2)
• Linda M Smith, PSY.D.
• Strafford R 6 School District
• Strafford Rehabilitation & Health Care Center LLC
• Jonathan L Thornsberry, MD

• Community/Retail Pharmacy in Strafford, MO
• Providers in Strafford, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.