Shelby Vanengel, CPHT, EXCPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

220131-41 Issued in WI

Practice address

302 S Grand Ave
Sun Prairie, WI 53590-9827

Phone

(608) 837-5949

Fax

(608) 825-3253

NPI assigned

Dec 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• O Connell Pharmacy LTD

  • Long Term Care Pharmacy
  • Sun Prairie, WI
  • NPI 1063781920
  NPD
• O Connell Pharmacy LTD

  • Community/Retail Pharmacy
  • Sun Prairie, WI
  • NPI 1457319345
  NPD

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1184430167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N MONROE ST",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535941129",
            "telephone_number": "608-807-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S GRAND AVE",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909827",
            "telephone_number": "608-837-5949",
            "fax_number": "608-825-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "535902526",
            "country_code": "US",
            "telephone_number": "608-837-8002 x7",
            "fax_number": "608-478-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANENGEL",
        "first_name": "SHELBY",
        "credential": "CPHT, EXCPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WI",
            "license": "220131-41",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Lindsay Ujor, LPN
• University of Wisconsin Medical Foundation Inc
• Jenifer Mary Uphoff, RN
• Andrew W Urban, MD
• Krista L Urban, RN
• Goua Leo Vang, RDH
• Amanda Vicente, BSN
• Dennis Vieth
• Daniel Villanueva
• Daniel Villarreal, LCSW

• Pharmacy Technician in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Pharmacy Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.