Active NPI
Erin Marie Shaughnessy, PHARM. D.
- Pharmacist
- Blue Island, IL
National Provider Identifier
1457430332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 12935 Gregory St
Blue Island, IL 60406-2428 - Phone
- (708) 597-2000
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- 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 | IL | Primary |
Addresses
Primary practice location
12935 Gregory St
Blue Island, IL 60406-2428
Mailing address
2451 W Arthington St
Unit 2
Chicago, IL 60612-4105
Phone (773) 972-4368
Other names 1
- Dr. Erin Marie Dufoe
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.289601 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457430332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 W ARTHINGTON ST",
"address_2": "UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124105",
"telephone_number": "773-972-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12935 GREGORY ST",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062428",
"telephone_number": "708-597-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUGHNESSY",
"first_name": "ERIN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "DUFOE",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.