Shane Eric Hodges, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

22460 Issued in MD

Practice address

1117 Good Hope Rd SE
Washington, DC 20020-6905

Phone

(202) 876-2901

Fax

(202) 876-2903

NPI assigned

Jul 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Washington, DC
  • NPI 1750732970
  NPD
• Maryland CVS Pharmacy, L.L.C.

  • Pharmacy
  • Gaithersburg, MD
  • NPI 1669100285
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1447668231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206905",
            "telephone_number": "202-876-2901",
            "fax_number": "202-876-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 GOOD HOPE RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206905",
            "telephone_number": "202-876-2901",
            "fax_number": "202-876-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "SHANE",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHARMACY",
            "identifier": "22460",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Hodge, LGSW
• Chandon Mohne Hodges
• Deneen Hodges
• Florence Hodges
• Narscisa Hodges
• Susan E Hodges, D.D.S.
• Stacy Yvonne Hodgkinson, PHD
• Michael Joseph Hodgson, M.D., M.P.H.
• Termeh Hodjati
• Kiersten Hoefler, PA-C

• Pharmacist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.