Active NPI
Angela Shelton, PHARMD
- Pharmacist
- Selma, AL
National Provider Identifier
1215542600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14495
- Practice address
- 1111 Highland Ave
Selma, AL 36703-4129 - Phone
- (334) 875-4916
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14495 | AL | Primary |
Addresses
Primary practice location
1111 Highland Ave
Selma, AL 36703-4129
Mailing address
132 Weatherly Way
Pelham, AL 35124-2856
Phone (205) 276-6414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 456456456 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Selma | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14495 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Angela Marie Shelton | Pharmacist | Past | Accepting new patients |
Locations
1111 Highland Ave
Selma, AL 36703
Phone (334) 875-4916
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 and National Provider Directory roles.
-
- Pharmacist
- Pelham, AL
- NPI 1619369618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1215542600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 WEATHERLY WAY",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242856",
"telephone_number": "205-276-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HIGHLAND AVE",
"city": "SELMA",
"state": "AL",
"postal_code": "367034129",
"telephone_number": "334-875-4916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-11",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "456456456",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Selma",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1111 Highland Ave",
"city": "Selma",
"state": "AL",
"country_code": "US",
"postal_code": "367034129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.