Patricia Ce Domin-Shorten, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP039350L Issued in PA

Practice address

42 Main Street
Rite Aid Pharmacy
Shenandoah, PA 17976

Phone

(570) 462-1924

NPI assigned

May 6, 2011

Last updated

Feb 8, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1770875940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MAIN STREET",
            "address_2": "RITE AID PHARMACY",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "17976",
            "telephone_number": "570-462-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MAIN STREET",
            "address_2": "RITE AID PHARMACY",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "17976",
            "telephone_number": "570-462-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMIN-SHORTEN",
        "first_name": "PATRICIA",
        "middle_name": "CE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039350L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Shenandoah, PA
• Providers in Shenandoah, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.