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Shirley Shan

NPI 1740891530ActiveIndividual· Pharmacist· San Bruno, CA

Pharmacist in San Bruno, California, licensed in CA, with an NPI issued in August 2020. Part D covered 12 prescriptions written in 2024.

Overview

NPI1740891530
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 14, 2020
Last updated in NPPESMar 24, 2026
Certified by providerMar 24, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X82912CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)12 · 34 30-day fills
Total drug cost$11,025

Medicare sources and data years

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