Active NPI
Anthony Wayne Shurts, R.PH.
- Pharmacist
- Bayfield, CO
National Provider Identifier
1689767725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA-15463
- Practice address
- 367 Boletus Creek Dr
Bayfield, CO 81122-9733 - Phone
- (970) 769-0117
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-2-11205 | OH | |
| Pharmacist | 183500000X | PHA-15463 | CO | Primary |
Addresses
Primary practice location
367 Boletus Creek Dr
Bayfield, CO 81122-9733
Mailing address
367 Boletus Creek Dr
Bayfield, CO 81122-9733
Phone (970) 884-1902
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 |
|---|---|---|---|
| PHA-15463 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689767725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 BOLETUS CREEK DR",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "811229733",
"telephone_number": "970-884-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 BOLETUS CREEK DR",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "811229733",
"telephone_number": "970-769-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHURTS",
"first_name": "ANTHONY",
"middle_name": "WAYNE",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-2-11205",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA-15463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.