Organization Active NPI

Shaffer Pharmacy Inc

  • Community/Retail Pharmacy
  • Toledo, OH
National Provider Identifier
1407949837
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02015785003 Issued in OH
Legal business name
SHAFFER PHARMACY INC
Practice address
3900 Sunforest CT Ste 124
Toledo, OH 43623-4476
Phone
(419) 473-0891
Fax
(419) 473-0899
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Dr. Wilson Bunton, PHARMDNPI 1932747813
Title
Pharmd
Phone
(419) 473-0891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 02015785003 OH Primary

Addresses

Primary practice location

3900 Sunforest CT Ste 124
Toledo, OH 43623-4476

Mailing address

3900 Sunforest CT Ste 124
Toledo, OH 43623-4476
Phone (419) 473-0891

Other identifiers 2

IdentifierTypeStateIssuer
0765337MedicaidOH
2075582OtherPK

Other names 1

  • SHAFFER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3900 Sunforest Ct
Ste 124
Toledo, OH 43623
Phone (419) 473-0891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1407949837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT STE 124",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234476",
            "telephone_number": "419-473-0891",
            "fax_number": "419-473-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT STE 124",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234476",
            "telephone_number": "419-473-0891",
            "fax_number": "419-473-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFFER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "BUNTON",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "419-473-0891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02015785003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765337",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAFFER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHAFFER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.