Shara M Buck

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

818385 Issued in NY

Practice address

3073 Buhre Ave Apt 3G
Bronx, NY 10461-4736

Phone

(570) 350-2484

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1790343143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 BUHRE AVE APT 3G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614736",
            "telephone_number": "570-350-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 BUHRE AVE APT 3G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614736",
            "telephone_number": "570-350-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "SHARA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333103-1",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "818385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Buchanan
• Mosaes Buchanan, RN, CRNA
• Sara Buchner
• Michelle Buck-O'Meally
• Christina Rose Buck-Zermane, ECSE DEVELOPMENTAL
• Elizabeth Sarah Buckley, MD
• Marvalin Mae Buckley
• Mary Buckley
• Peter J Buckley, MD
• Wilbert Puti Buco

• General Practice Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.