Shibumi RX

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SHIBUMI RX

Practice address

1020 Reading Blvd
Wyomissing, PA 19610-2210

Phone

(609) 731-1717

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. David L Lichten, MDNPI 1366563744

Title

Partner

Phone

(609) 731-1717

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Lloyd Lichten, MD

  • Physical Medicine & Rehabilitation Physician
  • Pottstown, PA
  • NPI 1366563744
  NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1659100956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 READING BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102210",
            "telephone_number": "609-731-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 READING BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102210",
            "telephone_number": "609-731-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIBUMI RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "LICHTEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "609-731-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violet Shattuck
• Sommer L Shay, CRNP
• Kelsey Shenk
• Novalea Shepherd
• Chheki Sherpa, M.D.
• Brooke Ashley Shimer
• Britt L Shipley, P.A.
• Matt Shollenberger, PHD
• Umer Shoukat, MD
• Robert J Shuttlesworth, D.D.S

• Medical Specialty Clinic/Center in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.