Shelly Mehta, PHARM D

Primary specialty

PharmacyTaxonomy code 333600000X

License

051306344 Issued in IL

Practice address

6118 N Damen Ave
Chicago, IL 60659-4384

Phone

(773) 503-0361

NPI assigned

Jul 15, 2024

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

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1093552150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594384",
            "telephone_number": "773-503-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594384",
            "telephone_number": "773-503-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHELLY",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "051306344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupal C Mehta, M.D
• Sarita Mehta, PA-C
• Saumya Amitkumar Mehta, D.O.
• Shana Mehta, PSY.D
• Shane Sabnani Mehta, LCPC
• Shilpa Mehta, M.D.
• Shriya Mehta
• Sneha Mehta, PT, DPT
• Swarup Mehta, PHARM. D
• Tara Mehta, PH.D.

• Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.