Active NPI
Anna Mae Shields, PHARMD, MBA
- Pharmacist
- Seattle, WA
National Provider Identifier
1770934895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60662371
- Practice address
- 201 16TH Ave E
Seattle, WA 98112 - Phone
- (206) 326-3321
- NPI assigned
- Jun 30, 2016
- 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 | PH60662371 | WA | Primary |
Addresses
Primary practice location
201 16TH Ave E
Seattle, WA 98112
Mailing address
805 Madison St
#702
Seattle, WA 98104-1172
Phone (206) 838-4587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2069621 | Medicaid | WA |
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60662371 | WA | MD | Pharmacist |
Interoperability endpoints
- ashields186480@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1770934895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST",
"address_2": "#702",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-838-4587",
"fax_number": "206-971-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98112",
"telephone_number": "206-326-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ANNA",
"middle_name": "MAE",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-30",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60662371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2069621",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.