Mary Susan Gegorek Shughrue, RPH, BCACP, CDE

Primary specialty

PharmacistTaxonomy code 183500000X

License

672221 Issued in CA

Practice address

300 Pasteur Dr
M/C 5616
Stanford, CA 94305-2200

Phone

(650) 723-0140

NPI assigned

Sep 19, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mary Susan Gegorek Shughrue Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1588090724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 WINCHESTER DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102738",
            "telephone_number": "650-393-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "M/C 5616",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGHRUE",
        "first_name": "MARY SUSAN",
        "middle_name": "GEGOREK",
        "credential": "RPH, BCACP, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "672221",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP041121R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY SUSAN",
            "last_name": "SHUGHRUE",
            "middle_name": "GEGOREK",
            "credential": "RPH, BCACP, CDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda D Shortliffe, M.D.
• Revati Shreeniwas, MD
• Aimee Der-Huey Shu, M.D.
• Ann Shue, MD
• Lawrence Mendel Shuer, MD
• Navika Shukla
• Roshni Shukla
• Laura Gerdel Shula, PA-C
• Yael Fagin Shull, PA-C
• Takudzwa Shumba, M.D.

• Pharmacist in Stanford, CA
• Providers in Stanford, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.