Active NPI
Dustin Shearer
- Pharmacist
- Mayfield Heights, OH
National Provider Identifier
1700364221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03337640
- Practice address
- 1233 Som Center Rd
Mayfield Heights, OH 44124-2050 - Phone
- (440) 461-1416
- NPI assigned
- Aug 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03337640 | OH | Primary |
Addresses
Primary practice location
1233 Som Center Rd
Mayfield Heights, OH 44124-2050
Mailing address
1233 Som Center Rd
Mayfield Heights, OH 44124-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03337640 | Other | OH | OHIO STATE 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 |
|---|---|---|---|
| 03337640 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Mayfield Heights, OH
- NPI 1700063674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1700364221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 SOM CENTER RD",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441242050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 SOM CENTER RD",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441242050",
"telephone_number": "440-461-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "DUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03337640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE BOARD OF PHARMACY",
"identifier": "03337640",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.