Healthcare Provider Details

I. General information

NPI: 1801753660
Provider Name (Legal Business Name): SHELBY HILL PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 S 60TH ST APT 2
OMAHA NE
68106-2949
US

IV. Provider business mailing address

2520 S 60TH ST APT 2
OMAHA NE
68106-2949
US

V. Phone/Fax

Practice location:
  • Phone: 308-202-0146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-122245
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17585
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: