Lizabeth Lee Marks-Shepard, R.PH.
Individual provider Active NPI Pharmacist · Brookston, IN
NPI 1003106022 · NPPES record last updated Apr 11, 2011
Key facts
- NPI
- 1003106022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26015203A (IN)
- Practice address
- 11030 S 200 W
Brookston, IN 47923-8217 - Phone
- (765) 563-0013
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26015203A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26015203A | IN | Yes |
Addresses
Primary practice location
11030 S 200 W
Brookston, IN 47923-8217
Mailing address
11030 S 200 W
Brookston, IN 47923-8217
Phone (765) 563-0013
Other providers in Brookston, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.