Individual provider Active NPI

Todd Shakespeare, RPH

  • Pharmacist
  • Cedar City, UT
National Provider Identifier
1487255907
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
273957-1701 Issued in UT
Practice address
1330 S Providence
Cedar City, UT 84720
Phone
(435) 586-0155
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 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 273957-1701 UT Primary

Addresses

Primary practice location

1330 S Providence
Cedar City, UT 84720

Mailing address

2232 W 2500 N
Cedar City, UT 84721-8358

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL wal-mart.com
CONNECT URL wal-mart.com
CONNECT URL wal-mart.com
CONNECT URL wal-mart.com

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
273957-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1487255907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 W 2500 N",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S PROVIDENCE",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-586-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKESPEARE",
        "first_name": "TODD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "273957-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wal-mart.com",
            "affiliation": "N",
            "address_1": "1330 s providence",
            "city": "cedar city",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wal-mart.com",
            "affiliation": "N",
            "address_1": "1330 s providence",
            "city": "cedar city",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wal-mart.com",
            "affiliation": "N",
            "address_1": "1330 s providence",
            "city": "cedar city",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wal-mart.com",
            "affiliation": "N",
            "address_1": "1330 s providence",
            "city": "cedar city",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.