SHELLEY REDMON (NPI# 1205369907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205369907 |
| Entity Type | Individual |
| Full Name | SHELLEY REDMON |
| Credential | R.PH. |
| Practice Address |
1930 Dowling St Kendallville IN 46755-9436 |
| Practice Telephone | 2605822151 |
| Practice Fax Number | 2605443369 |
| Mailing Telephone | 2605822151 |
| Mailing Fax Number | 2605443369 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26021887A | IN | Pharmacy Service Providers |
| Street Address |
1930 DOWLING ST |
| City | KENDALLVILLE |
| State | IN |
| Zip Code | 46755-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376651711 | Connie Arlene Ramos | Social Worker | 1930 Dowling St, Kendallville, IN 46755-9436 | 2006-08-27 |
| 1154933216 | Thaddeus James Bay | Social Worker | 1930 Dowling St, Kendallville, IN 46755-9436 | 2020-08-20 |
| 1699311480 | Rachel Brynn Mcbride-alves | Social Worker | 1930 Dowling St, Kendallville, IN 46755-9436 | 2019-11-27 |
| 1174186886 | Teri Marie Wilder | Counselor | 1930 Dowling St, Kendallville, IN 46755-9436 | 2019-04-18 |
| 1750628343 | Emiley M Rogers-bly | Counselor | 1930 Dowling St, Kendallville, IN 46755-9436 | 2013-01-16 |
| 1841512886 | Susan K Kamara | Counselor | 1930 Dowling St, Kendallville, IN 46755-9436 | 2010-02-18 |
| 1578736559 | Sarah Manjula Lobacz | Marriage & Family Therapist | 1930 Dowling St, Kendallville, IN 46755-9436 | 2008-04-10 |
| 1043414428 | Northeastern Center,inc | Health Maintenance Organization | 1930 Dowling St, Kendallville, IN 46755-9436 | 2007-06-12 |
| 1215083431 | Debra Jean Amidon | Social Worker | 1930 Dowling St, Kendallville, IN 46755-9436 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292422 | Dawn Levin | Physical Therapist | 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1679989495 | Elaine Patterson | Physical Therapist | 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1841606563 | Justin Todd Chaple | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1073802997 | Bryan William Smith | Counselor | 1930 Dowling St., Kendallville, IN 46755 | 2011-03-31 |
| 1417101247 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 124 E North St, Kendallville, IN 46755 | 2008-11-06 |
| 1770778367 | Assisted Living Concepts Inc | Assisted Living Facility | 2870 South Lima Road, Kendalville, IN 46755 | 2007-09-07 |
| 1629143805 | Kendallville Chiropractic Center Inc | Chiropractor | 1229 N Lima Rd, Kendallville, IN 46755 | 2006-11-22 |
| 1841307139 | Theodore L Deal Jr. | Dentist | 225 Fairview Blvd, Kendallville, IN 46755 | 2006-08-24 |
| 1467469858 | David Lee Holliday | Chiropractor | 930 West North St., Kendallville, IN 46755 | 2006-08-01 |
| 1699708370 | Vincent J Coda | Podiatrist | 410 E Mitchell St, Kendallville, IN 46755 | 2006-07-08 |
| Find all providers in zip 46755 | ||||
| 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 |
|---|---|---|---|---|
| 1265058887 | Benjamin Vorndran | Pharmacist | 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2020-06-19 |
| 1871139840 | Louisa Visocky | Pharmacist | 310 W North St, Kendallville, IN 46755-1004 | 2019-11-25 |
| 1427694587 | Jessica Suzanne Komosinski | Pharmacist | 310 W North St, Kendallville, IN 46755-1004 | 2019-11-25 |
| 1962044974 | Ryan Robert Reeves | Pharmacist | 1930 Dowling St Ste P, Kendallville, IN 46755-9436 | 2019-10-10 |
| 1629568332 | Sarah Schmitt | Pharmacist | 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2018-05-17 |
| 1033609060 | Latayne Peirce | Pharmacist | 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2018-05-15 |
| 1952891160 | Adam M Schmitt | Pharmacist | 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2018-05-14 |
| 1750870655 | Deanna Murphy Demaree | Pharmacist | 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2018-05-07 |
| 1023177185 | Thomas Chronister | Pharmacist | 318 W North St, Kendallville, IN 46755-1004 | 2006-12-06 |
| 1528127677 | William Fenstermaker | Pharmacist | 318 W North St, Kendallville, IN 46755-1004 | 2006-12-06 |
| Find all providers in KENDALLVILLE | ||||
| City | KENDALLVILLE |
| Zip Code | 46755 |
Please comment or provide details below to improve the information on SHELLEY REDMON.
| 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.