Individual provider Active NPI

James Gregory Shoemaker, PHARMD, MHSA

  • Pharmacist
  • Gaylord, MI
National Provider Identifier
1477020568
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP452940 Issued in PA
Practice address
1290 W Main St
Gaylord, MI 49735-8340
Phone
(989) 732-0578
Fax
(989) 732-0743
NPI assigned
Oct 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP452940 PA Primary

Addresses

Primary practice location

1290 W Main St
Gaylord, MI 49735-8340

Mailing address

436 Canterbury Cir
Carnegie, PA 15106-1561
Phone (504) 458-3013

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

LicenseStateTypeSpecialty
RP452940PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 13, 2022 Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Walgreen Co PastSince Aug 23, 2020 Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients

Locations

1290 W Main St
Gaylord, MI 49735
Phone (989) 732-0578

Organizations & group practices 4

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": "1540598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1477020568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CANTERBURY CIR",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151061561",
            "telephone_number": "504-458-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358340",
            "telephone_number": "989-732-0578",
            "fax_number": "989-732-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "JAMES",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MHSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-27",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.