Kelly Shields, PHARMD
Individual provider Active NPI Pharmacist · Ada, OH
NPI 1992023899 · NPPES record last updated May 17, 2010
Key facts
- NPI
- 1992023899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03-2-28340 (OH)
- Practice address
- 525 S Main St
College of Pharmacy
Ada, OH 45810-6000 - Phone
- (419) 772-2307
- NPI assigned
- May 17, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-2-28340 | OH | Yes |
Addresses
Primary practice location
525 S Main St
College of Pharmacy
Ada, OH 45810-6000
Mailing address
525 S Main St
College of Pharmacy
Ada, OH 45810-6000
Other providers in Ada, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.