Active NPI
Kelly Sheppard Shatat, R.PH.
- Pharmacist
- Butner, NC
National Provider Identifier
1841412830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13144
- Practice address
- 1003 12TH Street
Butner, NC 27509-1626 - Phone
- (919) 575-7394
- Fax
- (919) 575-7883
- NPI assigned
- May 2, 2007
- 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 | 13144 | NC | Primary |
Addresses
Primary practice location
1003 12TH Street
Butner, NC 27509-1626
Mailing address
2517 Valley Haven Drive
Raleigh, NC 27603
Phone (919) 835-1529
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13144 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841412830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 VALLEY HAVEN DRIVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27603",
"telephone_number": "919-835-1529",
"fax_number": "919-835-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 12TH STREET",
"city": "BUTNER",
"state": "NC",
"postal_code": "275091626",
"telephone_number": "919-575-7394",
"fax_number": "919-575-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHATAT",
"first_name": "KELLY",
"middle_name": "SHEPPARD",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butner, NC
Sources for this page
- 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.