Active NPI
James Gregory Shoemaker, PHARMD, MHSA
- Pharmacist
- Gaylord, MI
National Provider Identifier
1477020568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP452940
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP452940 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Walgreen Co | Past | 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.
-
- Pharmacy
- Gaylord, MI
- NPI 1245391358
-
- Community/Retail Pharmacy
- Pottsville, PA
- NPI 1427147156
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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.