Active NPI
Shaun Key
- Pharmacist
- Monroe, NC
National Provider Identifier
1679987739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12186
- Practice address
- 2406 W Roosevelt Blvd
Monroe, NC 28110-8430 - Phone
- (704) 289-5441
- NPI assigned
- Jun 17, 2014
- 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 | 12186 | NC | Primary |
Addresses
Primary practice location
2406 W Roosevelt Blvd
Monroe, NC 28110-8430
Mailing address
607 N Lake Dr
Monroe, NC 28112-8424
Phone (704) 807-8873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12186 | Other | NC | NC BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12186 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1679987739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 N LAKE DR",
"city": "MONROE",
"state": "NC",
"postal_code": "281128424",
"telephone_number": "704-807-8873",
"fax_number": "704-283-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 W ROOSEVELT BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281108430",
"telephone_number": "704-289-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "SHAUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF PHARMACY",
"identifier": "12186",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.