Active NPI
Charles Alexander Shea III, R.PH.
- Pharmacist
- Levittown, PA
National Provider Identifier
1417286246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP043375L
- Practice address
- 4005 Veterans Hwy
Levittown, PA 19056-3406 - Phone
- (215) 943-2221
- Fax
- (215) 943-2202
- NPI assigned
- Dec 7, 2009
- 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 | RP043375L | PA | Primary |
Addresses
Primary practice location
4005 Veterans Hwy
Levittown, PA 19056-3406
Mailing address
4005 Veterans Hwy
Levittown, PA 19056-3406
Phone (215) 943-2221
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP043375L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1417286246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 VETERANS HWY",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190563406",
"telephone_number": "215-943-2221",
"fax_number": "215-943-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 VETERANS HWY",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190563406",
"telephone_number": "215-943-2221",
"fax_number": "215-943-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "CHARLES",
"middle_name": "ALEXANDER",
"name_suffix": "III",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP043375L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.