Active NPI
Mary Njambi Kunyiha-Shelton
- Pharmacist
- La Vista, NE
National Provider Identifier
1891577235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18014
- Practice address
- 6901 S 84TH St
La Vista, NE 68128-2127 - Phone
- (402) 339-1090
- NPI assigned
- Oct 19, 2023
- 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 | 18014 | NE | Primary |
Addresses
Primary practice location
6901 S 84TH St
La Vista, NE 68128-2127
Mailing address
249 S Aberdeen St
Gretna, NE 68028-7875
Phone (770) 856-2924
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1891577235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 S ABERDEEN ST",
"city": "GRETNA",
"state": "NE",
"postal_code": "680287875",
"telephone_number": "770-856-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 S 84TH ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282127",
"telephone_number": "402-339-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNYIHA-SHELTON",
"first_name": "MARY",
"middle_name": "NJAMBI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "18014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.