Susan Margaret Shields, RPH
Individual provider Active NPI Pharmacist · Mitchellville, IA
NPI 1891713426 · NPPES record last updated Apr 4, 2018
Key facts
- NPI
- 1891713426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16321 (IA)
- Practice address
- 250 Elm Avenue SW
Mitchellville, IA 50169 - Phone
- (515) 725-5065
- Fax
- (515) 725-5070
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16321 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Des Moines Central Correctional Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16321 | IA | Yes |
Addresses
Primary practice location
250 Elm Avenue SW
Mitchellville, IA 50169
Mailing address
732 18TH St Apt 401
Des Moines, IA 50314-1027
Phone (515) 571-5957
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891713426 | Other | NPI |
Other providers in Mitchellville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.