Individual provider Active NPI

Shelley Elane Nall, PHARMD, LDE

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Nicholasville, KY
National Provider Identifier
1083244560
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
012165 Issued in KY
Practice address
995 S Main St
Nicholasville, KY 40356-2151
Phone
(859) 881-9086
Fax
(859) 887-4362
NPI assigned
Jan 23, 2020
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 012165 KY Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X S019932 AZ

Addresses

Primary practice location

995 S Main St
Nicholasville, KY 40356-2151

Mailing address

995 S Main St
Nicholasville, KY 40356-2151
Phone (859) 881-9086

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S019932AZMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
012165KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I PastSince Jan 26, 2020 Accepting new patients
Kroger Limited Partnership I Past Accepting new patients
Kroger Limited Partnership I PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1083244560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 S MAIN ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562151",
            "telephone_number": "859-881-9086",
            "fax_number": "859-887-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S MAIN ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562151",
            "telephone_number": "859-881-9086",
            "fax_number": "859-887-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "SHELLEY",
        "middle_name": "ELANE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, LDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "012165",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AZ",
            "license": "S019932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.