Shelby Lynn Dial, PHARMD, BCPS

Primary specialty

PharmacistTaxonomy code 183500000X

License

051303111 Issued in IL

Practice address

2115 S Macarthur Blvd
Springfield, IL 62704-4501

Phone

(217) 726-1003

NPI assigned

Apr 18, 2022

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Lynn Kincaid Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1043953953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 RIVER VIEW RD",
            "city": "RIVERTON",
            "state": "IL",
            "postal_code": "625619547",
            "telephone_number": "217-416-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S MACARTHUR BLVD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044501",
            "telephone_number": "217-726-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627810001",
            "country_code": "US",
            "telephone_number": "217-788-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAL",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "KINCAID",
            "middle_name": "LYNN",
            "credential": "PHARMD, BCPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Muthuswamy Dhiwakar, MD
• DHS Central Pharmacy
• DHS-a. McFarland MHC-Stevenson Hall (A. McFarland MHC-Stevenson Hall)
• DHS-McFarland MHC-Kennedy Hall (A. Mcfarland MHC- Kennedy Hall)
• Kelly J Dial, LCSW
• Michelle Diatte
• Kyle William Dickerman, RBT
• Mary Evans Dickerson, MD
• John Charles Dickinson, CNA
• Isabella Dickson

• Pharmacist in Springfield, IL
• Providers in Springfield, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.