Individual provider Active NPI

Shay Nicole Marchionne

  • Pharmacist
  • Port Saint Lucie, FL
National Provider Identifier
1902682263
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66284 Issued in FL
Practice address
1537 NW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-2113
Phone
(772) 340-4350
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 66284 FL Primary

Addresses

Primary practice location

1537 NW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-2113

Mailing address

3641 SW Voyager St
Port Saint Lucie, FL 34953-3779
Phone (772) 370-6209

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

State licenses

LicenseStateTypeSpecialty
66284FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc CurrentSince Sep 10, 2023 Accepting new patients
Publix Super Markets Inc PastSince Sep 10, 2023 Accepting new patients

Locations

1537 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 340-4350

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1902682263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 SW VOYAGER ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533779",
            "telephone_number": "772-370-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 NW SAINT LUCIE WEST BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862113",
            "telephone_number": "772-340-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHIONNE",
        "first_name": "SHAY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "66284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.