Teresa Lea Shaffer, RPH
Individual provider Active NPI Pharmacist · Georgetown, IN
NPI 1942583281 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1942583281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26018941A (IN)
- Practice address
- 6310 Forest Grove Dr NE
Georgetown, IN 47122-7764 - Phone
- (812) 366-3369
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26018941A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26018941A | IN | Yes |
Addresses
Primary practice location
6310 Forest Grove Dr NE
Georgetown, IN 47122-7764
Mailing address
6310 Forest Grove Dr NE
Georgetown, IN 47122-7764
Phone (812) 366-3369
Other providers in Georgetown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.