Active NPI
Lysandra Shaffer, PHARMD.
- Pharmacist
- Uvalde, TX
National Provider Identifier
1457780066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53480
- Practice address
- 250 E Main St
Uvalde, TX 78801-5639 - Phone
- (830) 278-3915
- NPI assigned
- Nov 4, 2013
- 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 | 53480 | TX | Primary |
Addresses
Primary practice location
250 E Main St
Uvalde, TX 78801-5639
Mailing address
250 E Main St
Uvalde, TX 78801-5639
Phone (830) 278-3915
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 |
|---|---|---|---|
| 53480 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Uvalde, TX
- NPI 1831450790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1457780066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "UVALDE",
"state": "TX",
"postal_code": "788015639",
"telephone_number": "830-278-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "UVALDE",
"state": "TX",
"postal_code": "788015639",
"telephone_number": "830-278-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "LYSANDRA",
"name_prefix": "Mrs.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uvalde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.