Active NPI
Shelby Luth, PHARMD
- Pharmacist
- Kenton, OH
National Provider Identifier
1639777261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03439694
- Practice address
- 111 W Espy St
Kenton, OH 43326-2117 - Phone
- (419) 679-5995
- NPI assigned
- Oct 15, 2020
- Last updated
- Mar 8, 2023
- 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 | 03439694 | OH | Primary |
Addresses
Primary practice location
111 W Espy St
Kenton, OH 43326-2117
Mailing address
1401 Canterbury Dr
Celina, OH 45822-1184
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 |
|---|---|---|---|
| 03439694 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | 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.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Saint Marys, OH
- NPI 1821029919
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1639777261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 CANTERBURY DR",
"city": "CELINA",
"state": "OH",
"postal_code": "458221184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W ESPY ST",
"city": "KENTON",
"state": "OH",
"postal_code": "433262117",
"telephone_number": "419-679-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTH",
"first_name": "SHELBY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03439694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenton, OH
- Lima Memorial Professional Corporation (Midwest Surgical Specialists - Urology at Kenton)
- Lima Memorial Professional Corporation (LMPC Specialists at Kenton)
- Lima Memorial Professional Corporation (Kenton Medical Center)
- LMH Heart Institute of Northwest Ohio, LLC
- Cheyanne Lowery
- Jessica Jera Mandeville, APRN
- Tamara Mansfield
- Brooklin Nicole Mauk, COTA/L
- Danielle Lea Mayer, PA-C
- Kaytie McGue
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.