Active NPI
Shileen Paula Jefferson, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1952715393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36477
- Practice address
- 306 Union Ave
Brooklyn, NY 11211-4738 - Phone
- (877) 492-7829
- NPI assigned
- Jun 13, 2014
- Reactivated
- Mar 25, 2025
- Last updated
- Mar 25, 2025
- 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 | 36477 | NY | Primary |
Addresses
Primary practice location
306 Union Ave
Brooklyn, NY 11211-4738
Mailing address
306 Union Ave
Brooklyn, NY 11211-4738
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36477 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1952715393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 UNION AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112114738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 UNION AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112114738",
"telephone_number": "877-492-7829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "SHILEEN",
"middle_name": "PAULA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2025-03-25",
"deactivation_date": "2024-07-09",
"reactivation_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "36477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.