Active NPI
Theresa M Shorts, RPH
- Pharmacist
- New York, NY
National Provider Identifier
1487786067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037706-1
- Practice address
- 320 W 145TH St
New York, NY 10039-3031 - Phone
- (212) 939-0941
- Fax
- (212) 939-0945
- NPI assigned
- Mar 10, 2007
- Last updated
- Jan 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 037706-1 | NY | Primary |
Addresses
Primary practice location
320 W 145TH St
New York, NY 10039-3031
Mailing address
2027 Caesar PL PH
Bronx, NY 10473-1865
Phone (718) 292-1856
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
| License | State | Type | Specialty |
|---|---|---|---|
| 037706-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1487786067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 CAESAR PL PH",
"city": "BRONX",
"state": "NY",
"postal_code": "104731865",
"telephone_number": "718-292-1856",
"fax_number": "718-665-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W 145TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100393031",
"telephone_number": "212-939-0941",
"fax_number": "212-939-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTS",
"first_name": "THERESA",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-10",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037706-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.