Active NPI
Bradley Shields
- Pharmacist
- Butler, PA
National Provider Identifier
1942964465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441725
- Practice address
- 700 Moraine Pointe PLZ
Butler, PA 16001-2415 - Phone
- (724) 283-3779
- NPI assigned
- Oct 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP441725 | PA | Primary |
Addresses
Primary practice location
700 Moraine Pointe PLZ
Butler, PA 16001-2415
Mailing address
700 Moraine Pointe PLZ
Butler, PA 16001-2415
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pharmacyteamleader.2440@gianteagle.com | GIANT EAGLE INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP441725 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant Eagle Inc | Past | Accepting new patients | |
| Giant Eagle, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Butler, PA
- NPI 1841207867
-
- Community/Retail Pharmacy
- Punxsutawney, PA
- NPI 1356207526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635552000000",
"number": "1942964465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MORAINE POINTE PLZ",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MORAINE POINTE PLZ",
"city": "BUTLER",
"state": "PA",
"postal_code": "160012415",
"telephone_number": "724-283-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "BRADLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-30",
"last_updated": "2021-10-30",
"certification_date": "2021-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441725",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pharmacyteamleader.2440@gianteagle.com",
"affiliation": "Y",
"affiliationName": "GIANT EAGLE INC",
"address_1": "700 Moraine Pointe Plz",
"city": "Butler",
"state": "PA",
"country_code": "US",
"postal_code": "160012415",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.