MRS. SHANNON DALE MASSINGALE (NPI# 1861973737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861973737 |
Entity Type | Individual |
Full Name | MRS. SHANNON DALE MASSINGALE |
Other Name | SHANNON DALE LITTLETON |
Credential | PHARM.D. |
Practice Address |
205 North Main Street Sweetwater TN 37874 |
Practice Telephone | 4233375813 |
Practice Fax Number | 4233373907 |
Mailing Telephone | 4233375813 |
Mailing Fax Number | 4233373907 |
Enumeration Date | 2018-08-28 |
Last Update Date | 2018-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 11637 | TN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477986354 | Shannon G Massingale | Case Manager/Care Coordinator | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2013-08-15 |
Street Address |
205 NORTH MAIN STREET |
City | SWEETWATER |
State | TN |
Zip Code | 37874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588109003 | Tammy Allen | Speech-Language Pathologist | 120 Clover Hill Drive, Sweetwater, TN 37874 | 2016-12-20 |
1194164996 | Wal-mart Stores East, Lp | Technician/Technologist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-06-14 |
1609117720 | Wal-mart Stores East Lp | Pharmacy | 935 State Highway 11 South, Sweetwater, TN 37874 | 2013-03-14 |
1568537868 | Joe Allen Moore | Dentist | 206 Mayes Ave, Sweetwater, TN 37874 | 2006-11-21 |
1699880518 | John Michael Fox | Dentist | 201 S High St, Sweetwater, TN 37874 | 2006-08-20 |
1114931516 | Thomas Alan Foster | Optometrist | 689a Hwy 68, Sweetwater, TN 37874 | 2006-07-28 |
1962486183 | Sweetwater Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 978 Highway 11 South, Sweetwater, TN 37874 | 2005-12-01 |
1518953777 | John G Richeson | Dentist | 745 New Highway 68, Sweetwater, TN 37874 | 2005-09-23 |
1962833913 | Bridgette Vestal | Pharmacist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-12-02 |
1356457220 | Foster Family Eyecare, Pllc | Optometrist | 689a Hwy 68, Sweetwater, TN 37874 | 2006-08-22 |
Find all providers in zip 37874 |
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 |
---|---|---|---|---|
1952704520 | William Robery Cagle IIi | Pharmacist | 141 Fairlane Cir, Sweetwater, TN 37874-1169 | 2014-09-26 |
1811324080 | Byron Heath Patterson | Pharmacist | 210 Sw Georgia Ave, Sweetwater, TX 79556 | 2013-10-03 |
1366887218 | Jonathan Seth Swainson | Pharmacist | 935 Highway 11 S, Sweetwater, TN 37874-5730 | 2013-05-06 |
1598034506 | Norma Linda Leal | Pharmacist | 210 S. W. Georgia Ave, Sweetwater, TX 79556 | 2011-12-20 |
1346526415 | Paul David Dacus | Pharmacist | 802 College St, Sweetwater, TN 37874-2611 | 2011-11-02 |
1821310129 | Brenda P Watts | Pharmacist | 902 S Main St, Sweetwater, TN 37874-1829 | 2010-02-28 |
1881734721 | Lisa R Mchan | Pharmacist | 787 New Highway 68, Sweetwater, TN 37874-1906 | 2007-02-08 |
1154461028 | Tarah Michelle Standridge | Pharmacist | 929 New Highway 68, Sweetwater, TN 37874-2726 | 2007-02-08 |
1518049329 | Ann-g Lawrence Chowning | Pharmacist | 1405 Hailey St, Sweetwater, TX 79556-2507 | 2006-10-20 |
1629166749 | Rhonda Jean Arrington | Pharmacist | Rr 1 Box 18a, Sweetwater, OK 73666-9701 | 2006-10-11 |
Find all providers in SWEETWATER |
City | SWEETWATER |
Zip Code | 37874 |
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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.