KELLY SHIELDS (NPI# 1992023899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992023899 |
| Entity Type | Individual |
| Full Name | KELLY SHIELDS |
| Credential | PHARMD |
| Practice Address |
525 S Main St College of Pharmacy Ada OH 45810-6000 |
| Practice Telephone | 4197722307 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03-2-28340 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605344 | Kelly Shields | Occupational Therapist | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2019-08-26 |
| 1902266943 | Kelly Jean Shields | Physical Therapist | 600 N Wolfe St, Meyer 1-130, Baltimore, MD 21287-0005 | 2016-03-03 |
| 1417215773 | Kelly Shields | Nurse Practitioner | 1301 W 38th St, Austin, TX 78705-1000 | 2012-04-24 |
| 1528257474 | Kelly Marie Shields | Pharmacist | 4108 Lincoln Rd, Missoula, MT 59802-3046 | 2007-10-17 |
| 1265638993 | Kelly Shields | Nurse Practitioner | 3343 4th Ave, San Diego, CA 92103-5703 | 2007-06-21 |
| Street Address |
525 S MAIN ST COLLEGE OF PHARMACY |
| City | ADA |
| State | OH |
| Zip Code | 45810-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501484 | Michael James Rush | Pharmacist | 525 S Main St, Raabe College of Pharmacy, Ada, OH 45810-6000 | 2005-07-08 |
| 1396355962 | Connor Edward Bowers | Pharmacist | 525 S Main St, Ada, OH 45810-1599 | 2020-08-07 |
| 1427676261 | Makayla Lynn Wells | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2020-07-08 |
| 1154949998 | Eric Daniel Dierkes | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2020-07-08 |
| 1669981304 | Kyle Parker | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2017-09-26 |
| 1265988414 | Breanna Meinzer | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2016-08-28 |
| 1023467891 | Eyob D Adane | Pharmacist | 525 S Main St, Ada, OH 45810-6000 | 2016-06-12 |
| 1134597461 | Brittany Lynn Long | Pharmacist | 525 S Main St, Raabe College of Pharmacy, Ada, OH 45810-6000 | 2015-09-03 |
| 1730557125 | Karen L Kier | Pharmacist | 525 S Main St, College of Pharmacy, Ohio Northern University, Ada, OH 45810-6000 | 2015-09-02 |
| 1457729824 | Amy Fanous | Pharmacist | 525 S Main St, Raabe College of Pharmacy, Ada, OH 45810-6000 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668183 | Ohio Northern University | Pharmacy | 511 W Lincoln Ave, Ada, OH 45810 | 2017-09-26 |
| 1104210723 | Brady Pickford | Registered Nurse | 0257 S.r. 235, Ada, OH 45810 | 2015-03-20 |
| 1356546808 | Ada-liberty Jt Ambulance Dis | Ambulance | 530 North Gilbert Street, Ada, OH 45810 | 2007-06-15 |
| 1215158845 | Justin Eugene Lehman | Specialist/Technologist | 525 S. Main Street, King-horn Sportscenter, Ada, OH 45810 | 2007-05-01 |
| 1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
| 1821159575 | Teresa E Rush | Nurse Practitioner | 604 W North Ave, Ada, OH 45810 | 2006-12-13 |
| 1346346913 | Billy T Morgan IIi | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-09-15 |
| 1174514145 | Donald Lawrence Sullivan | Pharmacist | Ohio Northern University, College of Pharmacy, Ada, OH 45810 | 2005-10-31 |
| 1407921117 | Ada Family Dentistry | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-11-21 |
| 1538246038 | Mark Benner Shull | Dentist | 120 S Main Street, Ada, OH 45810 | 2006-11-01 |
| Find all providers in zip 45810 | ||||
| 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 |
|---|---|---|---|---|
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1154928166 | Jonathan Keith Willett | Pharmacist | 1904 Carl Albert Blvd Ste A, Ada, OK 74820-3493 | 2020-10-02 |
| 1750915542 | May Alsayab | Pharmacist | 670 Highbury Ct Se, Ada, MI 49301-7734 | 2020-03-02 |
| 1679061022 | Zachary Woods | Pharmacist | 525 S Main St Unit 1, Ada, OH 45810-1599 | 2018-05-01 |
| 1326568924 | Beverly Smith | Pharmacist | 1201 Arlington St Ste B, Ada, OK 74820-4072 | 2017-06-23 |
| 1588017099 | Gregory James Metternich | Pharmacist | 10320 Deer Creek Dr Se, Ada, MI 49301-8451 | 2016-07-20 |
| 1285041061 | Meredith Green | Pharmacist | 920 Cypress Dr, Ada, OK 74820-8486 | 2014-07-14 |
| 1578810149 | Jacob L Holt | Pharmacist | 1005 Arlington, Ada, OK 74820 | 2012-08-13 |
| 1255454492 | Edmond Chin | Pharmacist | 401 W College Ave Apt 17, Ada, OH 45810-1399 | 2007-04-10 |
| 1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
| Find all providers in ADA | ||||
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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.