Active NPI
Billy Dale Shirley, RPH
- Pharmacist
- Longview, TX
National Provider Identifier
1962739409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21636
- Practice address
- 511 E Marshall Ave
Longview, TX 75601-5425 - Phone
- (903) 234-9509
- Fax
- (903) 234-9419
- NPI assigned
- Nov 4, 2009
- Sex
- Male
- 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 | 21636 | TX | Primary |
Addresses
Primary practice location
511 E Marshall Ave
Longview, TX 75601-5425
Mailing address
511 E Marshall Ave
Longview, TX 75601-5425
Phone (903) 234-9509
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 |
|---|---|---|---|
| 21636 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1962739409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015425",
"telephone_number": "903-234-9509",
"fax_number": "903-234-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015425",
"telephone_number": "903-234-9509",
"fax_number": "903-234-9419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "BILLY",
"middle_name": "DALE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "21636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
- Fangting Shi
- Anne E. Shields, FNP, CS P-MH
- Jennifer Lynn Shipp, FNP-BC
- Shirley M Anderson (New Life Outreach Boarding Homes)
- Shirley M Anderson (New Life Outreach Boarding Homes)
- Sheena Shirley
- Shorr Hospice Holdings LLC (Prime Care Hospice II)
- Colleen Acadia Short, LMFT, LMHC
- Ronald Short II, PT
- Tammi M Short, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.