Active NPI
Shelton Edward McBride, R.PH.
- Pharmacist
- Kingwood, TX
National Provider Identifier
1760697718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31390
- Practice address
- 3710 Tree Manor LN
Kingwood, TX 77345-1205 - Phone
- (832) 725-7201
- NPI assigned
- May 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11716 | AL | |
| Pharmacist | 183500000X | 9956 | LA | |
| Pharmacist | 183500000X | A1-0002334 | DE | |
| Pharmacist | 183500000X | PR4228 | ME | |
| Pharmacist | 183500000X | 12251 | MD | |
| Pharmacist | 183500000X | 22267 | MA | |
| Pharmacist | 183500000X | T-07950 | MS | |
| Pharmacist | 183500000X | 042837 | MO | |
| Pharmacist | 183500000X | R1326 | NH | |
| Pharmacist | 183500000X | 03-2-18218 | OH | |
| Pharmacist | 183500000X | RP036451R | PA | |
| Pharmacist | 183500000X | 31390 | TX | Primary |
| Pharmacist | 183500000X | PH00017160 | WA | |
| Pharmacist | 183500000X | IL | ||
| Pharmacist | 183500000X | VT |
Addresses
Primary practice location
3710 Tree Manor LN
Kingwood, TX 77345-1205
Mailing address
3710 Tree Manor LN
Kingwood, TX 77345-1205
Phone (832) 725-7201
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9956 | LA | MD | School Social Worker |
| 22267 | MA | MD | Dentist |
| 31390 | TX | MD | Pediatric Dentist |
| 11716 | AL | MD | Pharmacist |
| A1-0002334 | DE | MD | Pharmacist |
| 051.037788 | IL | MD | Pharmacist |
| 12251 | MD | MD | Pharmacist |
| PR4228 | ME | MD | Pharmacist |
| 042837 | MO | MD | Pharmacist |
| T-07950 | MS | MD | Pharmacist |
| R1326 | NH | MD | Pharmacist |
| RP036451R | PA | MD | Pharmacist |
| 033-000052 | VT | MD | Pharmacist |
| PH00017160 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760697718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 TREE MANOR LN",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773451205",
"telephone_number": "832-725-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 TREE MANOR LN",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773451205",
"telephone_number": "832-725-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "SHELTON",
"middle_name": "EDWARD",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11716",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "9956",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0002334",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4228",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "12251",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "22267",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-07950",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "042837",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1326",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-2-18218",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP036451R",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31390",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00017160",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.