Active NPI
Maureen Elizabeth Shelley, PHARM.D.
- Ambulatory Care Pharmacist
- San Fernando, CA
National Provider Identifier
1619580909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 68107
- Practice address
- 1212 Pico St RM 141
San Fernando, CA 91340-3503 - Phone
- (818) 627-4744
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 68107 | CA | Primary |
Addresses
Primary practice location
1212 Pico St RM 141
San Fernando, CA 91340-3503
Mailing address
3457 Lily CT
Newbury Park, CA 91320-2023
Phone (805) 208-1212
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 |
|---|---|---|---|
| 68107 | CA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1619580909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3457 LILY CT",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913202023",
"telephone_number": "805-208-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PICO ST RM 141",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403503",
"telephone_number": "818-627-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLEY",
"first_name": "MAUREEN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "68107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.