DR. TAMMIE ANNE SHOCKLEY (NPI# 1558646505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558646505 |
Entity Type | Individual |
Full Name | DR. TAMMIE ANNE SHOCKLEY |
Credential | PHARM.D. |
Practice Address |
2800 Old Us 231 S Walgreens 10974 Lafayette IN 47909 |
Practice Telephone | 7654711013 |
Practice Fax Number | 7654776480 |
Mailing Telephone | 2197767008 |
Mailing Fax Number | 7654776480 |
Enumeration Date | 2011-10-20 |
Last Update Date | 2011-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
260202001A | IN | Pharmacy Service Providers |
Street Address |
2800 OLD US 231 S WALGREENS 10974 |
City | LAFAYETTE |
State | IN |
Zip Code | 47909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285135244 | Glasswater Creek of Lafayette, LLC | Assisted Living Facility | 208 Beck Ln, Lafayette, IN 47909 | 2018-02-26 |
1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
1013394709 | Todd Hardin | Dentist | 2 Walter Scholer Drive, Lafayette, IN 47909 | 2015-05-01 |
1801296967 | Lacey Hintz | Occupational Therapy Assistant | 2308 Edgelea Dr, Lafayette, IN 47909 | 2014-08-26 |
1457691180 | Alicia A Duncan | Lactation Consultant, Non-RN | 207 Buckingham Drive, Lafayette, IN 47909 | 2013-02-16 |
1952553448 | Regina R Pilotte | Occupational Therapist | 3864 East 500 South, Lafayette, IN 47909 | 2008-10-16 |
1811182405 | Assisted Living Concepts Inc | Assisted Living Facility | 167 West 240 South, Lafayette, IN 47909 | 2007-09-07 |
1073716585 | Julia Ann Dillon | Counselor | 3554 Promenade Pkwy Ste E, Lafayette, IN 47909 | 2007-06-11 |
1639291503 | Winifred A. Landis | Pharmacist | 2806 Us 231 South, Lafayette, IN 47909 | 2007-04-04 |
1124104229 | Travis B Strickler | Optometrist | 3554 Promenade Pkwy Ste A, Lafayette, IN 47909 | 2006-10-31 |
Find all providers in zip 47909 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699078394 | Cordese Shaw Jolivette | Pharmacist | 3414 Moss St Ste C, Lafayette, LA 70507-6107 | 2010-12-19 |
1245849611 | Veronica Disher | Pharmacist | 2200 Greenbush St, Lafayette, IN 47904-2342 | 2020-07-30 |
1396362943 | Bryce R Burkhart | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-06-30 |
1306483169 | Jessica Heathcote | Pharmacist | 65 Beck Ln, Lafayette, IN 47909-2836 | 2019-11-28 |
1225509292 | Jarred Bowden | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-12-16 |
1598230351 | Christopher Farmer | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-10-09 |
1194129197 | Jennifer Slavens | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2014-10-20 |
1114356318 | Blair Elaine Maxwell | Pharmacist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2013-11-07 |
1922238955 | Paul Shaw | Pharmacist | 280 Exempla Cir, Rock Creek Medical Offices - Kpco Dept of Pharmacy, Lafayette, CO 80026-3370 | 2009-07-24 |
1215192711 | Robert Matthew Trujillo | Pharmacist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2008-07-23 |
Find all providers in LAFAYETTE |
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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.