Individual provider Active NPI

Vivien C Shaffer, R.N., PHARM. D.

  • Pharmacist
  • Lima, OH
National Provider Identifier
1811999345
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-1-20831 Issued in OH
Practice address
959 West North Street
Lima, OH 45805-2457
Phone
(419) 226-9597
Fax
(419) 226-4363
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.150303 OH
Pharmacist 183500000X 03-1-20831 OH Primary

Addresses

Primary practice location

959 West North Street
Lima, OH 45805-2457

Mailing address

959 West North Street
Harrod, OH 45805-2457
Phone (419) 648-3320

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
Doctor of Pharmacy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.150303OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1811999345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 WEST NORTH STREET",
            "city": "HARROD",
            "state": "OH",
            "postal_code": "458052457",
            "telephone_number": "419-648-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 WEST NORTH STREET",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052457",
            "telephone_number": "419-226-9597",
            "fax_number": "419-226-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "VIVIEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "R.N., PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.150303",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-20831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.