DR. ELIZABETH ASHLEY WILLIS (NPI# 1861868465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861868465 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH ASHLEY WILLIS |
| Other Name | DR. ASHLEY WILLIS |
| Credential | PHARMD |
| Practice Address |
1355 W Market St Bolivar TN 38008-1715 |
| Practice Telephone | 7316585271 |
| Practice Fax Number | 7316580870 |
| Mailing Telephone | 7314721011 |
| Mailing Fax Number | 7312123082 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 35834 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860897 | Elizabeth Rose Willis | Pharmacist | 12900 N Meridian St Ste 120, Carmel, IN 46032-5402 | 2020-04-24 |
| 1003340662 | Elizabeth Willis | Student in an Organized Health Care Education/Training Program | Unc Department of Pediatrics, 260 Macnider Building, Cb # 7220, Chapel Hill, NC 27599-7220 | 2017-04-20 |
| 1831385731 | Elizabeth Ann Willis | Registered Nurse | 247 Silver Lake Rd., Church Hill, TN 37642-0209 | 2007-09-25 |
| 1407077761 | Elizabeth Smith Willis | Speech-Language Pathologist | 940 Equestrian Dr, Mt Pleasant, SC 29464-3608 | 2007-05-02 |
| 1164038873 | Elizabeth Willis | Behavior Technician | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-09-17 |
| 1104453919 | Elizabeth Willis | Counselor | 2049 Skyline Drive, Lemon Grove, CA 91945 | 2020-03-24 |
| 1437789765 | Elizabeth Willis | Student in an Organized Health Care Education/Training Program | 128 E Apple St Fl 2, Dayton, OH 45409-2902 | 2020-01-26 |
| 1699274407 | Elizabeth Willis | Occupational Therapy Assistant | 1235 E Harmont Dr, Phoenix, AZ 85020-3864 | 2018-02-07 |
| 1700209806 | Elizabeth Willis | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2014-01-24 |
| 1679818744 | Elizabeth Marie Willis | Social Worker | 2323 Naperville Rd, Suite 180, Naperville, IL 60563-3444 | 2012-11-30 |
| Street Address |
1355 W MARKET ST |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073078481 | Southern Express Pharmacy | Pharmacy | 1355 W Market St, Bolivar, TN 38008-1715 | 2019-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| 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 |
|---|---|---|---|---|
| 1083919005 | Hope Caples Parker | Pharmacist | 109 Tennessee St, Bolivar, TN 38008-1822 | 2011-01-22 |
| 1972749794 | Sonja Lynn Obryan | Pharmacist | 1885 E Thornridge Dr, Bolivar, MO 65613-1283 | 2008-12-29 |
| 1952503914 | Leigh Boston Cummings | Pharmacist | 622 W Market St Ste 200, Bolivar, TN 38008-2241 | 2007-06-01 |
| 1649367335 | Dan Mchan | Pharmacist | 103 E Broadway, Bolivar, MO 65613-1621 | 2006-10-06 |
| 1437261062 | Sno White-benson | Pharmacist | 1100 S. Springfield Suite A, Suite 1, Bolivar, MO 65613-0158 | 2006-08-31 |
| 1932175965 | Jeff Sparks | Pharmacist | 2000b S Springfield Ave, Bolivar, MO 65613-9654 | 2006-02-28 |
| 1710591193 | John R Myers II | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2020-09-03 |
| 1912511296 | Robert Wilkins | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2020-09-03 |
| 1568070217 | Cameron Tyler Hargrove | Pharmacist | 1604 W Market St, Bolivar, TN 38008-1536 | 2020-07-20 |
| 1558838466 | Steven M Coleman | Pharmacist | 2451 S Springfield Ave, Bolivar, MO 65613-9123 | 2018-10-29 |
| Find all providers in BOLIVAR | ||||
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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.