Stacey Jones
Individual provider Active NPI Pharmacist · Shelbyville, TN
NPI 1104902899 · NPPES record last updated Jul 11, 2007
Key facts
- NPI
- 1104902899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8560 (TN)
- Practice address
- 842 Union St
Shelbyville, TN 37160-2608 - Phone
- (931) 684-7936
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8560 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes on Diabetes PLLC | Past | Accepting new patients | |
| McGees Prescription Shop Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8560 | TN | Yes |
Addresses
Primary practice location
842 Union St
Shelbyville, TN 37160-2608
Mailing address
842 Union St
Shelbyville, TN 37160-2608
Phone (931) 684-7936
Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.