DR. KELLY LYNN SHANLEY NORDSTROM PHARMD
NPI 1194930370
Pharmacist in Menomonie, WI

Active since May 11, 2007
2321 STOUT RD, MENOMONIE, WI 54751(715) 233-7500(715) 233-7501 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Lynn Shanley Nordstrom Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY LYNN SHANLEY NORDSTROM PHARMD (NPI 1194930370) is an individual pharmacist in Menomonie, Wisconsin, licensed in Wisconsin (14450-040) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194930370
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KELLY LYNN SHANLEY NORDSTROMCredential: PHARMD
Location Address2321 STOUT RDMenomonie, WI 54751-7003
Mailing Address3706 Tiffany LnEau Claire, WI 54701-5635
Fax(715) 233-7501
Sole ProprietorNo
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1194930370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 14450-040
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.
2321 STOUT RD, Menomonie, WI 54751

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2321 STOUT RD
MENOMONIE, WI 54751
Nurse Practitioner
2321 STOUT RD
MENOMONIE, WI 54751
Internal Medicine
2321 STOUT RD
MENOMONIE, WI 54751
Dietitian, Registered
2321 STOUT RD
MENOMONIE, WI 54751
Marriage & Family Therapist
2321 STOUT RD
MENOMONIE, WI 54751
Nurse Practitioner
2321 STOUT RD
MENOMONIE, WI 54751
Nurse Practitioner
2321 STOUT RD
MENOMONIE, WI 54751
Counselor (Mental Health)
2321 STOUT RD
MENOMONIE, WI 54751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Nordstrom's NPI number?

The NPI number for Kelly Nordstrom is 1194930370. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Kelly Nordstrom located?

Kelly Nordstrom practices at 2321 Stout Rd, Menomonie, WI 54751. The listed phone number is (715) 233-7500.

What is Kelly Nordstrom's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kelly Nordstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.