Active NPI
Carolyn Shortman, PHARMD, RPH
- Pharmacist
- Reynoldsburg, OH
National Provider Identifier
1992309132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03337177
- Practice address
- 8100 E Broad St
Reynoldsburg, OH 43068-8019 - Phone
- (614) 322-9706
- NPI assigned
- Nov 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019914 | KY | |
| Pharmacist | 183500000X | 03337177 | OH | Primary |
Addresses
Primary practice location
8100 E Broad St
Reynoldsburg, OH 43068-8019
Mailing address
57 Smith PL Apt 3
Columbus, OH 43201-7203
Phone (330) 607-6914
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019914 | KY | MD | Pharmacist |
| 03337177 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1992309132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 SMITH PL APT 3",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432017203",
"telephone_number": "330-607-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 E BROAD ST",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688019",
"telephone_number": "614-322-9706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTMAN",
"first_name": "CAROLYN",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019914",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03337177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.