Shelby Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SHELBY PHARMACY LLC

Doing business as

Easley HealthMart Pharmacy

Practice address

401 Hillcrest Dr
Easley, SC 29640-1221

Phone

(864) 642-4879

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Anthony ShelbyNPI 1831497841

Title

Owner

Phone

(864) 642-4879

Specialties & licenses 1

Addresses

Other names 1

• Easley HealthMart Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Anthony Shelby III, PHARMD

  • Pharmacist
  • Anderson, SC
  • NPI 1831497841
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1093398026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HILLCREST DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HILLCREST DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401221",
            "telephone_number": "864-642-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-642-4879",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easley HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rula Mahmoud Shalabi, D.M.D.
• Ali Shames-Dawson, PHD
• Shaneca Wellness Retreat LLC Dba Sweet Louise Home Care
• Catherine Dewald Shaw, PA-C
• Danielle Sheffield, FNP-BC
• Shelby Pharmacy LLC (Easley HealthMart Pharmacy)
• Yaneve Shemesh, MD
• Louis Ervin Shepard, DDS
• Sheridan Emergency Physician Services of South Carolina, PA
• Julie K Shipe, PT

• Long Term Care Pharmacy in Easley, SC
• Providers in Easley, SC by specialty
• Long Term Care Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.