Active NPI
Connie Shelton-Byars, RPH
- Pharmacist
- Canton, MI
National Provider Identifier
1548620263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302024828
- Practice address
- 39800 Ford Rd
Canton, MI 48187-4312 - Phone
- (734) 981-5104
- Fax
- (734) 981-5173
- NPI assigned
- Feb 24, 2016
- Sex
- Female
- 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 | 5302024828 | MI | Primary |
Addresses
Primary practice location
39800 Ford Rd
Canton, MI 48187-4312
Mailing address
39800 Ford Rd
Canton, MI 48187-4312
Phone (734) 981-5104
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 |
|---|---|---|---|
| 5302024828 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sams East Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Canton, MI
- NPI 1366469587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1548620263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39800 FORD RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481874312",
"telephone_number": "734-981-5104",
"fax_number": "734-981-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39800 FORD RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481874312",
"telephone_number": "734-981-5104",
"fax_number": "734-981-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON-BYARS",
"first_name": "CONNIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302024828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.