SHADOMBRIA KELLY
NPI 1710649728
Pharmacist in Chicago, IL

Active since October 06, 2021
1346 E 53RD ST, CHICAGO, IL 60615(773) 947-0438 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shadombria Kelly NPPES

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

SHADOMBRIA KELLY (NPI 1710649728) is an individual pharmacist in Chicago, Illinois, licensed in Illinois (051.304309) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1710649728
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSHADOMBRIA KELLY
Location Address1346 E 53RD STChicago, IL 60615-4046
Mailing Address3320 Wilcox AveBellwood, IL 60104-2169
Sole ProprietorNo
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
NPI 1710649728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051.304309
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.
1346 E 53RD ST, Chicago, IL 60615

Other Providers at the Same Location NPPES 2

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

Pharmacist
1346 E 53RD ST
CHICAGO, IL 60615
Pharmacist
1346 E 53RD ST
CHICAGO, IL 60615

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 Shadombria Kelly's NPI number?

The NPI number for Shadombria Kelly is 1710649728. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Shadombria Kelly located?

Shadombria Kelly practices at 1346 E 53rd St, Chicago, IL 60615. The listed phone number is (773) 947-0438.

What is Shadombria Kelly'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 Shadombria Kelly was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.