Individual provider Active NPI

David Pinckney Shuler Jr., RPH

  • Pharmacist
  • Santee, SC
National Provider Identifier
1669716643
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5543 Issued in SC
Practice address
802 Planters Trace Rd
Santee, SC 29142-9279
Phone
(803) 496-7690
Fax
(803) 854-9157
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5543 SC Primary

Addresses

Primary practice location

802 Planters Trace Rd
Santee, SC 29142-9279

Mailing address

802 Planters Trace Rd
Santee, SC 29142-9279
Phone (803) 496-7690

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5543SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1669716643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 PLANTERS TRACE RD",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "291429279",
            "telephone_number": "803-496-7690",
            "fax_number": "803-854-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 PLANTERS TRACE RD",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "291429279",
            "telephone_number": "803-496-7690",
            "fax_number": "803-854-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "DAVID",
        "middle_name": "PINCKNEY",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "5543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.