Individual provider Active NPI

Chelsea Victoria Shields Burns, PHARMD

  • Pharmacist
  • Eden, NC
National Provider Identifier
1699318113
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28024 Issued in NC
Practice address
625 S Van Buren Rd
Eden, NC 27288-5319
Phone
(434) 548-4515
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202210628 VA
Pharmacist 183500000X 28024 NC Primary

Addresses

Primary practice location

625 S Van Buren Rd
Eden, NC 27288-5319

Mailing address

217 Brandon CT
Danville, VA 24541-3507
Phone (434) 548-4515

Other identifiers 1

IdentifierTypeStateIssuer
0202210628OtherVAVIRGINIA 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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28024NCMDPharmacist
0202210628VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1699318113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BRANDON CT",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245413507",
            "telephone_number": "434-548-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S VAN BUREN RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885319",
            "telephone_number": "434-548-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS BURNS",
        "first_name": "CHELSEA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210628",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "28024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF PHARMACY",
            "identifier": "0202210628",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.