NPIMap

Individual provider Active NPI

Arlie Shumate

  • Pharmacist
  • Groton, MA
National Provider Identifier
1457712358
Registry record updated Mar 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH232864 Issued in MA
Practice address
760A Boston Rd
Groton, MA 01450-2058
Phone
(978) 448-2605
Fax
(978) 448-3784
NPI assigned
Mar 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH232864 MA Primary

Addresses

Primary practice location

760A Boston Rd
Groton, MA 01450-2058

Mailing address

760A Boston Rd
Groton, MA 01450-2058
Phone (978) 448-2605

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

State licenses

LicenseStateTypeSpecialty
PH232864MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shaws Supermarkets Inc Past Accepting new patients
Shaws Supermarkets Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1457712358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760A BOSTON RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014502058",
            "telephone_number": "978-448-2605",
            "fax_number": "978-448-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760A BOSTON RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014502058",
            "telephone_number": "978-448-2605",
            "fax_number": "978-448-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "ARLIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH232864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; 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.