Active NPI
Paula Kay Shaffer, RPH
- Pharmacist
- Ketchum, ID
National Provider Identifier
1902151699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6022
- Practice address
- 201 N Washington Avenue
Ketchum, ID 83340 - Phone
- (208) 914-5822
- Fax
- (208) 726-1179
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | P6022 | ID | Primary |
Addresses
Primary practice location
201 N Washington Avenue
Ketchum, ID 83340
Mailing address
PO Box 6464
Ketchum, ID 83340-6464
Phone (208) 914-5822
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 |
|---|---|---|---|
| P6022 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharma Donna LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ketchum, ID
- NPI 1740584051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1902151699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6464",
"city": "KETCHUM",
"state": "ID",
"postal_code": "833406464",
"telephone_number": "208-914-5822",
"fax_number": "208-726-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N WASHINGTON AVENUE",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "208-914-5822",
"fax_number": "208-726-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "PAULA",
"middle_name": "KAY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ketchum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.