MEDICARE: DR. SHELBY LEE DU MOND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	073249	NY

General Provider Information

NPI Number	:	1740147743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELBY LEE DU MOND

Provider Business Mailing Address
First Line	:	PO BOX 42
Second Line	:
City	:	TROUT CREEK
State	:	NY
Zip	:	13847-0042
Country	:	US
Telephone Number	:	607-435-2682
Fax Number	:	607-435-2682

Provider Business Practice Location Address
First Line	:	225 MAIN ST
Second Line	:
City	:	UNADILLA
State	:	NY
Zip	:	13849-2245
Country	:	US
Telephone Number	:	607-369-2131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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