Shelie Darlene Gaerke, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03217828 Issued in OH

Practice address

301 Town Center Blvd
Van Wert, OH 45891-9087

Phone

(419) 238-5928

Fax

(419) 238-6057

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1649870601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 OLD TOWN RUN RD",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458829334",
            "telephone_number": "419-905-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TOWN CENTER BLVD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458919087",
            "telephone_number": "419-238-5928",
            "fax_number": "419-238-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERKE",
        "first_name": "SHELIE",
        "middle_name": "DARLENE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03217828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.