Ryan Erick Shellabarger, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26028033A Issued in IN

Practice address

1221 W Monroe St
Decatur, IN 46733-1532

Phone

(260) 724-2568

Fax

(260) 724-3252

NPI assigned

Nov 20, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Hook-Superx LLC

  • Pharmacy
  • Decatur, IN
  • NPI 1992808687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1033712906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W MONROE ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331532",
            "telephone_number": "260-724-2568",
            "fax_number": "260-724-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W MONROE ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331532",
            "telephone_number": "260-724-2568",
            "fax_number": "260-724-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLABARGER",
        "first_name": "RYAN",
        "middle_name": "ERICK",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03230609",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028033A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modnath Sangroula
• Megan Michele Schreiber, PHARMD, RPH
• Makenna Ruth Schwartz
• Thomandram Sekar, MD
• Amy L Shaw
• Samantha Elizabeth Sherman
• Amber Shoemaker
• Karen Sue Short, P.T.
• Greta Sue Siebert, PTA
• Molly M Sigler, DDS

• All providers in Decatur, IN
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.