Active NPI
Debra Lynn Shelton, R.PH.
- Pharmacist
- Taylor, MI
National Provider Identifier
1497832836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027665
- Practice address
- 24555 Haig St
Taylor, MI 48180-3322 - Phone
- (313) 292-6260
- Fax
- (313) 291-3465
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 5302027665 | MI | Primary |
Addresses
Primary practice location
24555 Haig St
Taylor, MI 48180-3322
Mailing address
2033 Manton Blvd
Canton, MI 48187-3495
Phone (734) 844-1464
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027665 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497832836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 MANTON BLVD",
"city": "CANTON",
"state": "MI",
"postal_code": "481873495",
"telephone_number": "734-844-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24555 HAIG ST",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803322",
"telephone_number": "313-292-6260",
"fax_number": "313-291-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "DEBRA",
"middle_name": "LYNN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.