Active NPI
Shelly Forbes, PHARMD
- Pharmacist
- Lodi, OH
National Provider Identifier
1629664230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03331437
- Practice address
- 8920 Kennard Rd
Lodi, OH 44254-9605 - Phone
- (814) 746-5036
- NPI assigned
- Dec 17, 2020
- 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 | 03331437 | OH | Primary |
Addresses
Primary practice location
8920 Kennard Rd
Lodi, OH 44254-9605
Mailing address
8920 Kennard Rd
Lodi, OH 44254-9605
Phone (814) 746-5036
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lodi | Other |
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 |
|---|---|---|---|
| 03331437 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1629664230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8920 KENNARD RD",
"city": "LODI",
"state": "OH",
"postal_code": "442549605",
"telephone_number": "814-746-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8920 KENNARD RD",
"city": "LODI",
"state": "OH",
"postal_code": "442549605",
"telephone_number": "814-746-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "SHELLY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03331437",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lodi",
"affiliation": "N",
"endpointDescription": "Home",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Lodi",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Lodi",
"address_1": "8920 Kennard Rd",
"city": "Lodi",
"state": "OH",
"country_code": "US",
"postal_code": "442549605",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lodi, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.