Shayne Tyler Coleman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04023900 Issued in NJ

Practice address

202 Kings Hwy E
Haddonfield, NJ 08033-1905

Phone

(856) 428-3100

NPI assigned

Nov 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1750985990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 KINGS HWY E",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331905",
            "telephone_number": "856-428-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 KINGS HWY E",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331905",
            "telephone_number": "856-428-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SHAYNE",
        "middle_name": "TYLER",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04023900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Clark, D.D.S.
• Bernice L Clark, C.R.N.P.
• Ronald E Clark, DMD
• Courtney Scheflen Cohen, LCSW
• Dara Cohn, M.D.
• Raymond B. Coles, PA-C
• Brian Joseph Connolly Jr., RPH
• Alicia Cooley, OT
• Cooper Medical Supply
• Cooper University Hospital

• Pharmacist in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.