Active NPI
Shaina Richardson, PHARMD
- Pharmacist
- Cary, NC
National Provider Identifier
1669198917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31756
- Practice address
- 1123 Kildaire Farm Rd
Cary, NC 27511-4522 - Phone
- (919) 467-5572
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31756 | NC | Primary |
Addresses
Primary practice location
1123 Kildaire Farm Rd
Cary, NC 27511-4522
Mailing address
540 Summer Breeze Dr
Durham, NC 27704-2292
Phone (804) 283-5804
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31756 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1669198917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 SUMMER BREEZE DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042292",
"telephone_number": "804-283-5804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275114522",
"telephone_number": "919-467-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "SHAINA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.