Keith A Shelton
Keith A Shelton is a healthcare organization registered as Community/Retail Pharmacy in Poplar Bluff, MO, holding Type 2 (organization) NPI 1508950916 since 2006. The authorized official on file is Keith Shelton, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508950916 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Keith A Shelton |
| Other name | <Unavail> |
| Practice address | 200 N 10TH ST, Poplar Bluff, MO, 63901 |
| Phone | 5736867216 |
| Fax | 5736867217 |
| Enumeration date | 2006-10-03 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Keith Shelton |
|---|---|
| Title | Owner |
| Phone | 5736867216 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | MO |
| 333600000X | Pharmacy | Secondary | 004034 | MO |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621708502 | Medicaid | MO | — |
| 601708506 | Medicaid | MO | — |
| 2619231 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Keith A Shelton NPI: 1508950916 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 200 N 10TH ST, Poplar Bluff, MO, 63901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285954750 | Keith Shelton | Individual | Pharmacist | Poplar Bluff, MO |
Verify this record
Cross-check NPI 1508950916 against the authoritative CMS record: view Keith A Shelton on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Keith A Shelton?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.