Tari Ellen Shapiro, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH0015301 Issued in OR

Practice address

315 S Main St
Canyonville, OR 97417-9645

Phone

(215) 460-9198

NPI assigned

Aug 15, 2017

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1417473109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 IRVING DR",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974577405",
            "telephone_number": "215-460-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MAIN ST",
            "city": "CANYONVILLE",
            "state": "OR",
            "postal_code": "974179645",
            "telephone_number": "215-460-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "TARI",
        "middle_name": "ELLEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH0015301",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH0015301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordons Pharmacy & Gifts LLC (Gordon's Pharmacy and Gifts)
• Nicole April Johnston, DEM
• Reanna Marie Meisner
• Michelle Lynn Reisig, PT
• Valerie Lee Reneau, LMT
• James Brian Siegel, DC
• Carolyn Elizabeth Simmons, M.D.
• David Allen Stevens, R.PH.
• Shannon Briana Suhr, FNP
• Shelly Rea Sullens, DMD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Canyonville, OR
• Providers in Canyonville, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.