Kenneth Anthony Shifrar, BS PHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

144985-1701 Issued in UT

Practice address

A050 Pharmacy
50 North Medical Drive
Salt Lake City, UT 84132-0001

Phone

(801) 581-2147

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Bachelor of Science, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841337649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 KIMBARY WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841094024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A050 PHARMACY",
            "address_2": "50 NORTH MEDICAL DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFRAR",
        "first_name": "KENNETH",
        "middle_name": "ANTHONY",
        "credential": "BS PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "144985-1701",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "2299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Mae Shields, NP
• Michelanne Shields, MD
• Michele Shields
• Jillian Danielle Shiembob, PT
• Cheryl Dawn Shifflett-Evans, LPC
• Fuad S. Shihab, MD
• Omar Fuad Shihab
• Kevin C Shilling, MD
• Mark Shillington, M.D.
• Isabel Claire Shimanski

• Pharmacist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.