MRS. SHELLEY EDWARDS (NPI# 1194362616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194362616 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY EDWARDS |
| Credential | RPH |
| Practice Address |
3070 N Water St Decatur IL 62526-1991 |
| Practice Telephone | 2178771327 |
| Practice Fax Number | 2178771328 |
| Mailing Telephone | 2178771327 |
| Mailing Fax Number | 2178771328 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-037241 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578043139 | Shelley Edwards | Chiropractor | 880 Hampshire Rd Ste Y, Westlake Village, CA 91361-2867 | 2018-08-14 |
| 1295278141 | Shelley Edwards | Registered Nurse | 23958 E Alamo Pl, Aurora, CO 80016-4246 | 2016-11-27 |
| 1801298542 | Shelley Edwards | Contractor | 315 E Innis Avenue, Columbus, OH 43207-1955 | 2014-09-25 |
| 1881238483 | Shelley Suzanne Edwards | Counselor | 2700 Westhall Ln Ste 207, Maitland, FL 32751-7478 | 2019-11-06 |
| 1700106465 | Shelley Elaine Edwards | Internal Medicine | 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 | 2010-06-04 |
| 1316971294 | Shelley J Edwards | Internal Medicine | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2006-07-10 |
| Street Address |
3070 N WATER ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-1991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992878516 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3070 N Water St, Decatur, IL 62526-1991 | 2006-11-15 |
| 1871139030 | Brian Keith Tatro | Pharmacist | 3070 N Water St, Decatur, IL 62526-1991 | 2019-11-22 |
| 1942787916 | Jamie Nicole Guthrie | Pharmacist | 3070 N Water St, Decatur, IL 62526-1991 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515927 | Kristin Lynne Mcdonald | Pharmacist | 82 Deerfield Ln, Decatur, MS 39327-8977 | 2020-07-06 |
| 1629699699 | Samantha Camille Ricks | Pharmacist | 2641 E College Ave Apt 736, Decatur, GA 30030-3380 | 2020-04-30 |
| 1447886056 | Sawapha Verduci | Pharmacist | 1375 Thomas Rd, Decatur, GA 30030-4622 | 2020-03-14 |
| 1386280949 | Kelsie Burner | Pharmacist | 1818 Airport Plz, Decatur, IL 62521-9717 | 2019-11-19 |
| 1699319541 | Thao Trinh Nguyen | Pharmacist | 1130 N Jamestown Rd Apt 305, Decatur, GA 30033-7118 | 2019-11-04 |
| 1770067506 | Abdul Wahab | Pharmacist | 3517 Clubhouse Cir E Apt A, Decatur, GA 30032-2006 | 2018-09-18 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1639604408 | Mahesh Patel | Pharmacist | 2579 Lawrenceville Hwy, Decatur, GA 30033-3206 | 2017-04-28 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1831568278 | Omeka Clark | Pharmacist | 1670 Clairmont Road (119), Decatur, GA 30033 | 2015-09-16 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.