Shorx Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1285 Issued in MA

Legal business name

SHORX INC

Practice address

297 Belmont St
Belmont, MA 02478-3410

Phone

(617) 484-7007

Fax

(617) 484-7099

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dana Shore

Title

Owner

Phone

(617) 484-7007

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SHORE DRUG Doing business as

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1912006677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 BELMONT ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783410",
            "telephone_number": "617-484-7007",
            "fax_number": "617-484-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 BELMONT ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783410",
            "telephone_number": "617-484-7007",
            "fax_number": "617-484-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-484-7007"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MA",
            "license": "1285",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432792",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2203139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHORE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce Daqnal Shields, PMHCNS-BC CGP
• Walker E Shields, M.D.
• Ah Lahm Shin
• Ann Kyungah Shinn, MD, MPH
• Sydni S. Shorter
• Yogesh Shridhare, LMT
• Arthur J Siegel, MD
• Hudie B. Siegel, MD
• Nicole Lynne Siegel, MA
• Gordon Charles Siek, PHD

• Community/Retail Pharmacy in Belmont, MA
• Providers in Belmont, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.