Cynthia Kaye Shinn, RPH
Individual provider Active NPI Pharmacist · Roebuck, SC
NPI 1629328992 · NPPES record last updated Sep 14, 2012
Key facts
- NPI
- 1629328992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10669 (SC)
- Practice address
- 140 Jameson Drive
Roebuck, SC 29376 - Phone
- (864) 431-9435
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10669 | SC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10669 | SC | Yes |
Addresses
Primary practice location
140 Jameson Drive
Roebuck, SC 29376
Mailing address
140 Jameson Drive
Roebuck, SC 29376
Phone (864) 431-9435
Other providers in Roebuck, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.