Kristi G. Shockley, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

008658 Issued in SC

Practice address

2410 Reidville Rd
Spartanburg, SC 29301-3652

Phone

(864) 587-9486

Fax

(864) 587-9504

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Spartanburg, SC
  • NPI 1194730283
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1912296104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUSTCRAFT DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296515397",
            "telephone_number": "864-979-4121",
            "fax_number": "864-895-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 REIDVILLE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013652",
            "telephone_number": "864-587-9486",
            "fax_number": "864-587-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "KRISTI",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "008658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "008658",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna E Shetley, BA
• Colter Grey Sheveland
• Donald C Shields, M.D., PH.D.
• Erin Marie Shields
• Tara Martin Shingleton, CF-SLP
• Tatyana Shostak, OTR
• Evan Shrestha
• Tracy Thomas Shreve, FNP
• Betty Shuford, LAC
• Henry Shugart, M.D.

• Pharmacist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.