Shelly Gail Hodges

Primary specialty

PharmacistTaxonomy code 183500000X

License

5122 Issued in WV

Practice address

106 21St St
Nitro, WV 25143-1740

Phone

(304) 755-0128

Fax

(304) 204-2223

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174734792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WINDSONG WAY",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431138",
            "telephone_number": "304-776-5329",
            "fax_number": "304-204-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 21ST ST",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431740",
            "telephone_number": "304-755-0128",
            "fax_number": "304-204-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "SHELLY",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "5122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Harper
• Rachel Heilmann, PHARMD
• Herbert J Thomas Memorial Hospital Association
• William Elmer Higginbotham
• Hunter Gavin Highlander, PHARMD
• Crystal R. Holstein, APRN, NP-C
• Hopewell Community Services LLC
• Josephine Mae Hutchinson
• Tami James
• Robert L Kardos, D.D.S.

• All providers in Nitro, WV
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.