DR. SHANDRA BANKS (NPI# 1073150991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073150991 |
| Entity Type | Individual |
| Full Name | DR. SHANDRA BANKS |
| Credential | PHARMD, RPH |
| Practice Address |
600 S Main St Fort Worth TX 76104-2410 |
| Mailing Address |
7112 Comal Dr Irving TX 75039-3317 |
| Practice Telephone | 8178822500 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | E-09748 | MS | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 41145 | TX | Pharmacy Service Providers |
| Street Address |
600 S MAIN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285266965 | Amanda Rose Richter Mccreight | Physical Therapist | 600 S Main St, Fort Worth, TX 76104-2410 | 2020-02-10 |
| 1164060299 | Lindsey Martin | Occupational Therapist | 600 S Main St, Fort Worth, TX 76104-2410 | 2019-12-19 |
| 1831586601 | Brooke Samantha Mills | Internal Medicine | 600 S Main St, Fort Worth, TX 76104-2410 | 2015-04-20 |
| 1629403191 | Horacio Chiong-rivero | Psychiatry & Neurology | 600 S Main St, Fort Worth, TX 76104-2410 | 2013-09-03 |
| 1215241187 | Luigino Rolando Mateo Bernabela | Internal Medicine | 600 S Main St, Fort Worth, TX 76104-2410 | 2010-08-03 |
| 1780641829 | Nuha Riyad Said | Internal Medicine | 600 S Main St, Fort Worth, TX 76104-2410 | 2006-05-01 |
| 1255325403 | Shelly M Harvey | Allergy & Immunology | 600 S Main St, Fort Worth, TX 76104 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326157 | Phillip Alexander Smith | Pharmacist | 5261 Smokey Ridge Dr, Fort Worth, TX 76123-2896 | 2020-11-05 |
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1174124655 | Benjamin N Quaye | Pharmacist | 11436 Sorano Way Apt 17104, Fort Worth, TX 76244-1575 | 2020-11-02 |
| 1194325795 | Mai Hanh Dang | Pharmacist | 7557 Sienna Ridge Ln, Fort Worth, TX 76131-5119 | 2020-11-01 |
| 1306446521 | Shellie Woody Lindley | Pharmacist | 500 Throckmorton St Apt 2109, Fort Worth, TX 76102-3808 | 2020-10-27 |
| 1659988186 | Mckenzie Crockett | Pharmacist | 8600 Camp Bowie W Blvd, Fort Worth, TX 76116-6102 | 2020-09-29 |
| 1033729942 | Jamie Cheatheam | Pharmacist | 1225 Nighthawk Rd, Fort Worth, TX 76108-6988 | 2020-08-05 |
| 1598373334 | Henry Ngoc Nguyen | Pharmacist | 3100 S Hulen St, Fort Worth, TX 76109-1925 | 2020-07-17 |
| 1760007744 | Roy Nwakamma | Pharmacist | 4501 E Lancaster Ave # 105, Fort Worth, TX 76103-3210 | 2020-06-15 |
| 1265055107 | Priyank Patel | Pharmacist | 5317 Summer Meadows Dr, Fort Worth, TX 76123-1975 | 2020-05-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.