Active NPI
Shelly K Wells, RPH
- Pharmacist
- Papillion, NE
National Provider Identifier
1609143650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11773
- Practice address
- 9512 S 71St PLZ
Papillion, NE 68133-2152 - Phone
- (402) 408-1086
- NPI assigned
- Nov 18, 2011
- Last updated
- Nov 18, 2011
- 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 | 11773 | NE | Primary |
Addresses
Primary practice location
9512 S 71St PLZ
Papillion, NE 68133-2152
Mailing address
18604 Jones Cir
Elkhorn, NE 68022-5606
Phone (402) 490-0324
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 |
|---|---|---|---|
| 11773 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1609143650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18604 JONES CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225606",
"telephone_number": "402-490-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9512 S 71ST PLZ",
"city": "PAPILLION",
"state": "NE",
"postal_code": "681332152",
"telephone_number": "402-408-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "SHELLY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.