Ralph Lynwood Shumake Jr., P.D.

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

License

09764 Issued in MD

Practice address

9145 Guilford Rd
Suite #160
Columbia, MD 21046-1883

Phone

(301) 490-2353

Fax

(301) 490-2376

NPI assigned

May 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1619235181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 GUILFORD RD",
            "address_2": "#160",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461883",
            "telephone_number": "301-490-2353",
            "fax_number": "301-490-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9145 GUILFORD RD",
            "address_2": "SUITE #160",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461883",
            "telephone_number": "301-490-2353",
            "fax_number": "301-490-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKE",
        "first_name": "RALPH",
        "middle_name": "LYNWOOD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "P.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "09764",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202004627",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "MD",
            "license": "09764",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "09764",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "09764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Deven Shroff, O.D.
• Robert Joseph Shroyer, MD
• Christopher R Shubert, MD
• Ashleigh Shugars
• Brooke Shull
• Nicole S Shuron
• Jeri Shuster, M.D.
• Adrienne F. Shutt, LCSW-C
• Alarie Marie Shyllon
• Joseph Siakam

• Pharmacist in Columbia, MD
• Providers in Columbia, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.