Shade Piper, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2020030189 Issued in MO

Practice address

3050 S National Ave Ste 109
Springfield, MO 65804-4242

Phone

(417) 881-8822

NPI assigned

Oct 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Wal-Mart Stores East , LP

  dba Walmart Pharmacy 10-5692

  • Community/Retail Pharmacy
  • Springfield, MO
  • NPI 1205101169
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1912504994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CEDAR CREEK LN",
            "city": "FAIR GROVE",
            "state": "MO",
            "postal_code": "656489171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S NATIONAL AVE STE 109",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044242",
            "telephone_number": "417-881-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "SHADE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-03",
        "last_updated": "2022-08-10",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2020030189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menger Ping, O.M., L. AC.
• A. Daniel Pinheiro, MD
• Tori Nicole Pinkly
• Nancy Kay Pinkston
• Pinnacle Chiropractic LLC (Family Back and Neck Care Centre)
• Thomas Peter Pirotte, MD
• Malaina Skiles Pitsch, PHARMD
• Kevin W. Pittenger, PLPC
• Ellen Kathleen Pitts, FNP-C
• Olevia M Pitts, M.D.

• Pharmacist in Springfield, MO
• Providers in Springfield, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.