Active NPI
Robert Michael Shrum, RPH
- Pharmacist
- Beaver, PA
National Provider Identifier
1679805808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039206L
- Practice address
- 1000 Dutch Ridge Rd
Beaver, PA 15009-9727 - Phone
- (724) 773-7777
- NPI assigned
- Feb 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | RP039206L | PA | Primary |
Addresses
Primary practice location
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Mailing address
111 Brian Dr
Beaver, PA 15009-9795
Phone (724) 742-2438
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP039206L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1679805808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BRIAN DR",
"city": "BEAVER",
"state": "PA",
"postal_code": "150099795",
"telephone_number": "724-742-2438",
"fax_number": "800-622-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 DUTCH RIDGE RD",
"city": "BEAVER",
"state": "PA",
"postal_code": "150099727",
"telephone_number": "724-773-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRUM",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-15",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039206L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.