Active NPI
Stephanie Beth Shields, PHARM D
- Pharmacist
- Atlanta, GA
National Provider Identifier
1952419483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19392
- Practice address
- 95 Collier Rd
Suite 5015
Atlanta, GA 30309 - Phone
- (678) 298-3228
- Fax
- (678) 298-3229
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- 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 | 19392 | GA | Primary |
Addresses
Primary practice location
95 Collier Rd
Suite 5015
Atlanta, GA 30309
Mailing address
4273 Lake Breeze Dr
Stone Mountain, GA 30083
Phone (404) 298-5565
Other names 1
- Ms. Stephanie Beth Greenberg
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19392 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952419483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4273 LAKE BREEZE DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "30083",
"telephone_number": "404-298-5565",
"fax_number": "404-298-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 COLLIER RD",
"address_2": "SUITE 5015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "678-298-3228",
"fax_number": "678-298-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "STEPHANIE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "19392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "GREENBERG",
"middle_name": "BETH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.