Jerry Anthony Shelby III, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

12310 Issued in SC

Practice address

4361 Highway 24
Anderson, SC 29626-5214

Phone

(864) 224-8433

Fax

(864) 224-3958

NPI assigned

Mar 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oracle Pharmacy

  • Specialty Pharmacy
  • Easley, SC
  • NPI 1255982567
  NPD Authorized official
• Shelby Pharmacy LLC

  • Long Term Care Pharmacy
  • Easley, SC
  • NPI 1093398026
  NPD Authorized official
• Shelby Pharmacy LLC

  • Community/Retail Pharmacy
  • Easley, SC
  • NPI 1528512357
  NPD Authorized official
• Walgreen Co

  • Pharmacy
  • Anderson, SC
  • NPI 1467617258
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1831497841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 HIGHWAY 24",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29626",
            "telephone_number": "864-224-8433",
            "fax_number": "864-224-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 HIGHWAY 24",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265214",
            "telephone_number": "864-224-8433",
            "fax_number": "864-224-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "JERRY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALGREENS PHARMACY",
            "identifier": "1467617258",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie N Shayne
• Troy Wayne Shealy
• Christine Ann Sheets, PHARMD
• Stanley W. Sheftall,Jr., D.M.D
• Shahzad H Sheikh, M.D.
• Katura Antoinette Shelby, PHARMD
• Je'Monica Marie Shell
• Charlene L Shelton, COTA/L
• Courtney Sheppard, NP
• Jerita Sarana Sherard, NP

• Pharmacist in Anderson, SC
• Providers in Anderson, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.