Individual provider Active NPI

Jeanette D. Shrewsbury, RPH

  • Pharmacist
  • Scarbro, WV
National Provider Identifier
1770733982
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0006571 Issued in WV
Practice address
908 Scarbro Road
Scarbro, WV 25917-0337
Phone
(304) 469-3424
Fax
(304) 929-6776
NPI assigned
Sep 24, 2008
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0006571 WV Primary

Addresses

Primary practice location

908 Scarbro Road
Scarbro, WV 25917-0337

Mailing address

908 Scarbro Rd
PO Box 337
Scarbro, WV 25917-8837
Phone (304) 469-3424

Other identifiers 1

IdentifierTypeStateIssuer
5008330OtherWVNCPDP

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

LicenseStateTypeSpecialty
RP0006571WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1770733982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 SCARBRO RD",
            "address_2": "PO BOX 337",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259178837",
            "telephone_number": "304-469-3424",
            "fax_number": "304-929-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SCARBRO ROAD",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337",
            "telephone_number": "304-469-3424",
            "fax_number": "304-929-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREWSBURY",
        "first_name": "JEANETTE",
        "middle_name": "D.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5008330",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarbro, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.