Active NPI
Robin Shackleford, PHARMD
- Pharmacist
- Smyrna, GA
National Provider Identifier
1821547852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16750
- Practice address
- 200 Technology CT SE
Smyrna, GA 30082-5250 - Phone
- (866) 437-8040
- Fax
- (866) 427-8799
- NPI assigned
- Oct 3, 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 | 16750 | GA | Primary |
Addresses
Primary practice location
200 Technology CT SE
Smyrna, GA 30082-5250
Mailing address
200 Technology CT SE
Smyrna, GA 30082-5250
Phone (866) 437-8040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16750 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1821547852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TECHNOLOGY CT SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825250",
"telephone_number": "866-437-8040",
"fax_number": "866-427-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TECHNOLOGY CT SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825250",
"telephone_number": "866-437-8040",
"fax_number": "866-427-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHACKLEFORD",
"first_name": "ROBIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.