Shelby Bortnick
Individual provider Active NPI Pharmacist · Brunswick, OH
NPI 1689155384 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1689155384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03338111 (OH)
- Practice address
- 3871 Center Rd
Brunswick, OH 44212-3058 - Phone
- (330) 273-9700
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03338111 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03338111 | OH | Yes |
Addresses
Primary practice location
3871 Center Rd
Brunswick, OH 44212-3058
Mailing address
3871 Center Rd
Brunswick, OH 44212-3058
Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.