Jason Aldridge, RPH
Individual provider Active NPI Pharmacist · Shelbyville, IN
NPI 1366097552 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1366097552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26020124A (IN)
- Practice address
- 200 S Harrison St
Shelbyville, IN 46176-2160 - Phone
- (317) 398-9791
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26020124A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26020124A | IN | Yes |
Addresses
Primary practice location
200 S Harrison St
Shelbyville, IN 46176-2160
Mailing address
200 S Harrison St
Shelbyville, IN 46176-2160
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.