Shelby Amoo-Mitchual

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP455916 Issued in PA

Practice address

825 E Chestnut St Ste a
Lancaster, PA 17602-3205

Phone

(717) 293-8001

NPI assigned

Aug 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Lancaster, PA
  • NPI 1215026976
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)

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

{
    "created_epoch": "1628985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1487329066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E CHESTNUT ST STE A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023205",
            "telephone_number": "717-293-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E CHESTNUT ST STE A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023205",
            "telephone_number": "717-293-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOO-MITCHUAL",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-15",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP455916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Current Care PA PC
• American Family Dental Care, P.C.
• Ameristar Healthcare Services, LLC
• Casey Ammon, CRNA
• Kenneth Amoo-Mitchual, PHARMD
• Destani Amos
• Elizabeth A Amos, APRN
• Elom Dowuin Amoussou-Kpeto, M.D.
• Ye Jin Annie An, DDS
• Rebecca A. Anastasio

• All providers in Lancaster, PA
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2021; 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.