Individual provider Active NPI

Julie Shaw, PHARM D

  • Pharmacist
  • Melbourne, FL
National Provider Identifier
1699012401
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49115 Issued in FL
Practice address
1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624
Phone
(321) 726-1614
Fax
(321) 726-1611
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49115 FL Primary

Addresses

Primary practice location

1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624

Mailing address

1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624
Phone (321) 726-1614

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

LicenseStateTypeSpecialty
PS49115FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University Center Medical LLC Current Accepting new patients
University Center Medical LLC Current Accepting new patients

Locations

1800 W Hibiscus Blvd
Ste 101
Melbourne, FL 32901
Phone (321) 726-1600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1699012401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HIBISCUS BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012624",
            "telephone_number": "321-726-1614",
            "fax_number": "321-726-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HIBISCUS BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012624",
            "telephone_number": "321-726-1614",
            "fax_number": "321-726-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JULIE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.