Active NPI
Shea Herald
- Pharmacist
- Northridge, CA
National Provider Identifier
1952849150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71949
- Practice address
- 10181 Reseda Blvd
Northridge, CA 91324-1454 - Phone
- (818) 993-4125
- NPI assigned
- Feb 8, 2017
- Last updated
- Feb 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 71949 | CA | Primary |
Addresses
Primary practice location
10181 Reseda Blvd
Northridge, CA 91324-1454
Mailing address
14355 Huston St
212
Sherman Oaks, CA 91423-1857
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 |
|---|---|---|---|
| 71949 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1952849150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14355 HUSTON ST",
"address_2": "212",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914231857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10181 RESEDA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913241454",
"telephone_number": "818-993-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERALD",
"first_name": "SHEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-08",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.