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

Last updated

Nov 20, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hook-Superx LLC

  dba CVS Pharmacy #06516

  • 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

• Pharmacist in Decatur, IN
• Providers in Decatur, IN by specialty
• 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.