Active NPI
Shelley Ford Paulson, RPH
- Pharmacist
- Kodiak, AK
National Provider Identifier
1699751826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E6603
- Practice address
- BLDG N46 Cape Sarichef
Kodiak, AK 99619 - Phone
- (907) 487-5757
- NPI assigned
- Dec 20, 2005
- 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 | E6603 | MS | Primary |
Addresses
Primary practice location
BLDG N46 Cape Sarichef
Kodiak, AK 99619
Mailing address
962 Mallard Way
Kodiak, AK 99615-7126
Phone (907) 486-4750
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6603 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Support Command Kodiak | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699751826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 MALLARD WAY",
"city": "KODIAK",
"state": "AK",
"postal_code": "996157126",
"telephone_number": "907-486-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG N46 CAPE SARICHEF",
"city": "KODIAK",
"state": "AK",
"postal_code": "99619",
"telephone_number": "907-487-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSON",
"first_name": "SHELLEY",
"middle_name": "FORD",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E6603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.