Individual provider Active NPI

Shelley Speck, PHARMD

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1891078911
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S027455 Issued in AZ
Practice address
2800 W Dove Valley Rd
Phoenix, AZ 85085-5246
Phone
(480) 994-6235
Fax
(480) 994-6236
NPI assigned
Sep 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S027455 AZ Primary

Addresses

Primary practice location

2800 W Dove Valley Rd
Phoenix, AZ 85085-5246

Mailing address

2800 W Dove Valley Rd
Phoenix, AZ 85085-5246
Phone (480) 994-6235

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH 00022613WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosauers Supermarkets Inc Past Accepting new patients
Smiths Food & Drug Centers Inc Past Accepting new patients
Rosauers Supermarkets Inc Past Accepting new patients
Smith'S Food & Drug Centers Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1891078911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W DOVE VALLEY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855246",
            "telephone_number": "480-994-6235",
            "fax_number": "480-994-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W DOVE VALLEY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855246",
            "telephone_number": "480-994-6235",
            "fax_number": "480-994-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECK",
        "first_name": "SHELLEY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-25",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S027455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

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

Verify at the official NPI Registry.