Shelton Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHELTON PHARMACY

Practice address

1525 Wayne Ave
Dayton, OH 45410-1707

Phone

(937) 253-4108

Fax

(937) 253-8662

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan Shelton

Title

President

Phone

(937) 253-4108

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1265544274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WAYNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454101707",
            "telephone_number": "937-253-4108",
            "fax_number": "937-253-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WAYNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454101707",
            "telephone_number": "937-253-4108",
            "fax_number": "937-253-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-253-4108"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3604041",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8017916",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Gregory Shelhouse, DDS
• Angela R Sheline
• Jacob Michael Shelley, CDCA/CPRS
• Jamesia Sharmane Shelley, LPN
• Lakin Shelpman, APRN
• Ashley M Shelton
• Bryanna Shelton
• Jonathan P Shelton, R.PH
• Kenneth Shelton, CRNA
• Meneaka M Shelton

• Community/Retail Pharmacy in Dayton, OH
• Providers in Dayton, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.