MRS. SHELLEY EDWARDS


Address: 3070 N Water St, Decatur, IL 62526-1991
Phone: 2178771327

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051-037241 IL Pharmacy Service Providers

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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

Office Location

Street Address 3070 N WATER ST
City DECATUR
State IL
Zip Code 62526-1991

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

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.

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