Active NPI
Carl E Shields, RPH
- Pharmacist
- Petrolia, PA
National Provider Identifier
1871585976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP038470L
- Practice address
- 296 Church St
Petrolia, PA 16050-0354 - Phone
- (724) 756-4050
- Fax
- (724) 756-4060
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- 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 | RP038470L | PA | Primary |
Addresses
Primary practice location
296 Church St
Petrolia, PA 16050-0354
Mailing address
296 Church St
PO Box 354
Petrolia, PA 16050-0354
Phone (724) 756-4050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP038470L | Other | PA | PA STATE PHARMACY LICENSE |
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 |
|---|---|---|---|
| RP038470L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1871585976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 CHURCH ST",
"address_2": "PO BOX 354",
"city": "PETROLIA",
"state": "PA",
"postal_code": "160500354",
"telephone_number": "724-756-4050",
"fax_number": "724-756-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 CHURCH ST",
"city": "PETROLIA",
"state": "PA",
"postal_code": "160500354",
"telephone_number": "724-756-4050",
"fax_number": "724-756-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "CARL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP038470L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE PHARMACY LICENSE",
"identifier": "RP038470L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petrolia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.