Active NPI
William A Shelver, PHARMD
- Pharmacist
- Canon City, CO
National Provider Identifier
1336742592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA0017929
- Practice address
- 601 Main St
Canon City, CO 81212-3736 - Phone
- (719) 275-3375
- Fax
- (719) 275-4756
- NPI assigned
- Nov 19, 2020
- Last updated
- Apr 21, 2022
- Sex
- Male
- 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 | PHA0017929 | CO | Primary |
Addresses
Primary practice location
601 Main St
Canon City, CO 81212-3736
Mailing address
127 Circle Dr N
Canon City, CO 81212-2430
Phone (719) 431-2671
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 |
|---|---|---|---|
| PHA0017929 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reams Palace Drug Inc | Current | Accepting new patients | |
| Reams Palace Drug Inc | Current | Accepting new patients |
Locations
601 Main St
Canon City, CO 81212
Phone (719) 275-3375
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Canon City, CO
- NPI 1427912088
-
- Community/Retail Pharmacy
- Silver Cliff, CO
- NPI 1326789496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1336742592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CIRCLE DR N",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122430",
"telephone_number": "719-431-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123736",
"telephone_number": "719-275-3375",
"fax_number": "719-275-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELVER",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA0017929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
- Pamela A Seng, LPC
- Cherri Sergo
- Shadow Mountain Management (Hildebrand Care Center)
- Shadow Mountain Management (Hildebrand Care Center)
- Darian L Shaw
- Sheridan Childrens Healthcare Services of Colorado PC
- Sheridan Healthcare of Colorado, PC
- Jessica Shiflett, MS, NCE, LPC, LAC
- Deborah Eileen Shock, ANP-C
- Mary Anna Shorter-King, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.