Active NPI
Shelby J Isaac, RPH
- Pharmacist
- Putnam Valley, NY
National Provider Identifier
1699083956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044833
- Practice address
- 7 Pheasnt Run Rd
Putnam Valley, NY 10579 - Phone
- (845) 284-2019
- Fax
- (212) 342-2111
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- 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 | 044833 | NY | Primary |
Addresses
Primary practice location
7 Pheasnt Run Rd
Putnam Valley, NY 10579
Mailing address
7 Pheasant Run Rd
Putnam Valley, NY 10579
Phone (845) 284-2019
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 |
|---|---|---|---|
| 044833 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1699083956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PHEASANT RUN RD",
"city": "PUTNAM VALLEY",
"state": "NY",
"postal_code": "10579",
"telephone_number": "845-284-2019",
"fax_number": "212-342-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PHEASNT RUN RD",
"city": "PUTNAM VALLEY",
"state": "NY",
"postal_code": "10579",
"telephone_number": "845-284-2019",
"fax_number": "212-342-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAAC",
"first_name": "SHELBY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Putnam Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.