Organization Active NPI

Shepard Place Pharmacy Inc

Doing business as Shepard Place Pharmacy

  • Community/Retail Pharmacy
  • Carpinteria, CA
National Provider Identifier
1902817596
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY22070 Issued in CA
Legal business name
SHEPARD PLACE PHARMACY INC
Doing business as
Shepard Place Pharmacy
Practice address
1029 Casitas Pass Rd
Carpinteria, CA 93013-2108
Phone
(805) 684-8367
Fax
(805) 684-8848
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Carl Barnett
Title
President
Phone
(805) 684-8367

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY22070 CA Primary

Addresses

Primary practice location

1029 Casitas Pass Rd
Carpinteria, CA 93013-2108

Mailing address

1029 Casitas Pass Rd
Carpinteria, CA 93013-2108

Other identifiers 2

IdentifierTypeStateIssuer
PHY220700MedicaidCA
0573762OtherOTHER ID NUMBER

Other names 1

  • SHEPARD PLACE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1029 Casitas Pass Rd
Carpinteria, CA 93013
Phone (805) 684-8367

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1902817596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 CASITAS PASS RD",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930132108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 CASITAS PASS RD",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930132108",
            "telephone_number": "805-684-8367",
            "fax_number": "805-684-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPARD PLACE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-684-8367"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY22070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY220700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0573762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHEPARD PLACE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carpinteria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.