Active NPI
Shawn Ryan Kelley, RPH
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1053290734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16340
- Practice address
- 3600 Florida St
Baton Rouge, LA 70806-3842 - Phone
- (225) 381-8700
- NPI assigned
- Aug 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16340 | LA | Primary |
Addresses
Primary practice location
3600 Florida St
Baton Rouge, LA 70806-3842
Mailing address
5100 Waterford Dr
Zachary, LA 70791-2466
Phone (225) 955-4090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16340 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1053290734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 WATERFORD DR",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912466",
"telephone_number": "225-955-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FLORIDA ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063842",
"telephone_number": "225-381-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "SHAWN",
"middle_name": "RYAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.