Individual provider Active NPI

Christopher J Shea, PHARMD, CGP

  • Geriatric Pharmacist
  • Reno, NV
National Provider Identifier
1619215951
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
15026 Issued in NV
Practice address
8725 Technology Way Ste C1
Reno, NV 89521-5924
Phone
(775) 851-7788
NPI assigned
Jan 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 15026 NV Primary

Addresses

Primary practice location

8725 Technology Way Ste C1
Reno, NV 89521-5924

Mailing address

8725 Technology Way Ste C1
Reno, NV 89521-5924
Phone (775) 851-7788

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15026NVMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1619215951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 TECHNOLOGY WAY STE C1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215924",
            "telephone_number": "775-851-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 TECHNOLOGY WAY STE C1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215924",
            "telephone_number": "775-851-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PHARMD, CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NV",
            "license": "15026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.