Active NPI
Matthew Shimkus
- Pharmacist
- Blackshear, GA
National Provider Identifier
1497169577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16930
- Practice address
- 3537 US Highway 84
Blackshear, GA 31516-2237 - Phone
- (912) 449-0811
- NPI assigned
- Jun 17, 2014
- Last updated
- Jun 17, 2014
- Sex
- Male
- 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 | 16930 | GA | Primary |
Addresses
Primary practice location
3537 US Highway 84
Blackshear, GA 31516-2237
Mailing address
1313 N River Oaks Dr
Blackshear, GA 31516-4650
Phone (678) 451-0048
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16930 | GA | 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, 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": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1497169577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 N RIVER OAKS DR",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315164650",
"telephone_number": "678-451-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 US HIGHWAY 84",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315162237",
"telephone_number": "912-449-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMKUS",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackshear, GA
- Elizabeth Osburn Riggins, LMT
- RLM (Infinite Wellness)
- RMX Blackshear LLC (Restor Metabolix of Blackshear)
- Robert Littell Blackshear Family Chiropractic Center PC
- Duane Everett Robert, D.M.D.
- Henry Maxwell Silman, PSY.D.
- Jessica Lynn Smith Drury, LDO
- Speech Pathology Associates of South East Georgia, PC
- Mary Catherine Barnes Stewart, MD
- Travis Vincent Streat
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.