Active NPI
Shantee N. Darensburg, PHARM D
- Pharmacist
- Mandeville, LA
National Provider Identifier
1760790224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17853
- Practice address
- 3450 Highway 190
Mandeville, LA 70471-3196 - Phone
- (985) 626-0481
- NPI assigned
- Sep 18, 2010
- Last updated
- Nov 17, 2011
- Sex
- Female
- 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 | 17853 | LA | Primary |
Addresses
Primary practice location
3450 Highway 190
Mandeville, LA 70471-3196
Mailing address
3450 Highway 190
Mandeville, LA 70471-3196
Phone (985) 626-0481
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17853 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1760790224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 HIGHWAY 190",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713196",
"telephone_number": "985-626-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 HIGHWAY 190",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713196",
"telephone_number": "985-626-0481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARENSBURG",
"first_name": "SHANTEE",
"middle_name": "N.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-18",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "17853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.