Active NPI
Shirley Louise Paddock, RPH
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1851944433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26016991A
- Practice address
- 2800 Enterprise St
Indianapolis, IN 46219-1103 - Phone
- (888) 607-4287
- NPI assigned
- Jul 22, 2019
- 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 | 26016991A | IN | Primary |
Addresses
Primary practice location
2800 Enterprise St
Indianapolis, IN 46219-1103
Mailing address
11761 Darsley Dr
Fishers, IN 46037-8281
Phone (317) 332-4265
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 |
|---|---|---|---|
| 26016991A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1851944433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11761 DARSLEY DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460378281",
"telephone_number": "317-332-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 ENTERPRISE ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191103",
"telephone_number": "888-607-4287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADDOCK",
"first_name": "SHIRLEY",
"middle_name": "LOUISE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26016991A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.