Individual provider Active NPI

Candice Shay, PHARMD

  • Pharmacist
  • Pulaski, VA
National Provider Identifier
1760139281
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202218698 Issued in VA
Practice address
400 N Washington Ave
Pulaski, VA 24301-4630
Phone
(540) 980-4060
Fax
(540) 980-3784
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202218698 VA Primary

Addresses

Primary practice location

400 N Washington Ave
Pulaski, VA 24301-4630

Mailing address

400 N Washington Ave
Pulaski, VA 24301-4630

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL martinsrxcandice@gmail.com Direct
Other URL martinsrxcandice@gmail.com Direct

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
0202218698VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin'S Pharmacy of Christiansburg Inc Current Accepting new patients
Martins Pharmacy Inc PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1760139281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N WASHINGTON AVE",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243014630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WASHINGTON AVE",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243014630",
            "telephone_number": "540-980-4060",
            "fax_number": "540-980-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "CANDICE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202218698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "martinsrxcandice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pulaski",
            "address_1": "400 N Washington Ave",
            "city": "Pulaski",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243014630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "martinsrxcandice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pulaski",
            "address_1": "400 N Washington Ave",
            "city": "Pulaski",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243014630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.