Jaime Lynn Cantu, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

4002 Issued in WY

Practice address

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone

(605) 347-2511

NPI assigned

Jun 3, 2018

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jaime Lynn Shipley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1760974034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S GARDEN ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472202",
            "telephone_number": "307-315-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-347-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 SD-71",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "SD",
            "postal_code": "57747",
            "country_code": "US",
            "telephone_number": "605-745-2425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "SD",
            "postal_code": "577471480",
            "country_code": "US",
            "telephone_number": "605-745-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "4002",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SD",
            "license": "R-6639",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WY",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "SHIPLEY",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Jordan Burtzlaff, LPN
• Stephanie Lea Bushman, CRNA
• James Eldred Buttke, PHARMD
• Taylor Campbell
• Teresa Anne Campbell, LPN
• Pamela Jean Carl Maser, RN
• Brianna Louise Carlson, LPN
• Paula Carroll
• Shannon Marie Chiolis
• Jason William Chipman, LPC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Meade, SD
• Providers in Fort Meade, SD by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.