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Keith A Shelton

Community/Retail Pharmacy in Poplar Bluff, MO · enumerated 2006 · authorized official Keith Shelton, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508950916

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Registry record

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 (573) 686-7216
Fax (573) 686-7217
Enumeration date Oct 3, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 004034 (MO) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Keith Shelton
Title Owner
Phone (573) 686-7216

Other identifiers

Identifier Type State Issuer
621708502 Medicaid MO -
601708506 Medicaid MO -
2619231 Other - OTHER ID NUMBER-COMMERCIAL NUMBER

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Keith A Shelton?
Keith A Shelton is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.