Shanell S Nettles, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2016037811 Issued in MO

Practice address

74 Grandview Plaza Shopping Ctr
Florissant, MO 63033-6105

Phone

(314) 838-1366

NPI assigned

Jul 19, 2018

Last updated

Jul 19, 2018By the provider in NPPES

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1710463047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 GRANDVIEW PLAZA SHOPPING CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336105",
            "telephone_number": "314-838-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 GRANDVIEW PLAZA SHOPPING CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336105",
            "telephone_number": "314-838-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "SHANELL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2016037811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Neale
• Ashley Nelson, RN
• Betsy L Nelson, FNP
• Tyler Elijah Nelson
• Marco Nettles
• Never Alone Living Assistance, LLC
• Never Left Alone
• New Era Home Care LLC
• New Frontier Home Health Care, Inc.
• New Frontier, Inc.

• Pharmacist in Florissant, MO
• Providers in Florissant, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.