Shippy Shoe Store, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SHIPPY SHOE STORE, INC

Practice address

5474 US Highway 10 E
Suite 6
Stevens Point, WI 54481-9115

Phone

(715) 344-6993

Fax

(715) 344-6658

NPI assigned

Jun 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James William Shippy, CERTIFIED PEDORTHIST

Title

Owner

Phone

(715) 344-6993

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700812245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5474 US HIGHWAY 10 E",
            "address_2": "SUITE 6",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544819115",
            "telephone_number": "715-344-6993",
            "fax_number": "715-344-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5474 US HIGHWAY 10 E",
            "address_2": "SUITE 6",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544819115",
            "telephone_number": "715-344-6993",
            "fax_number": "715-344-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPPY SHOE STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIPPY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-344-6993",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41722000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William P Seavecki
• Mark David Sebree, PHARMD
• Christonna Shafranski
• Henry H Shaw, MD
• Joshua Shilka
• Shefiu O Shittu, MD
• William Harvey Shockley III, RN
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 055)
• Shopko Stores Operating Co. LLC (ShopKo Optical 055)
• Shoptikal LLC (Shopko Optical 4055)

• Specialist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.