Don Michael Shepherd, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Waycross, GA
NPI 1114186129 · NPPES record last updated Jun 4, 2008
Key facts
- NPI
- 1114186129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 9971 (GA)
- Practice address
- 1803 Knight Ave
Waycross, GA 31501-8018 - Phone
- (912) 285-4630
- Fax
- (912) 283-8929
- NPI assigned
- Jun 4, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9971 | GA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 9971 | GA | Yes |
Addresses
Primary practice location
1803 Knight Ave
Waycross, GA 31501-8018
Mailing address
1803 Knight Ave
Waycross, GA 31501-8018
Phone (912) 285-4630
Other providers in Waycross, GA
- Satilla Reliant Psychiatric Services, LLC
- Satilla Rheumatology and Internal Medicine, PC
- Satilla Spine Center
- Serenity Health & Wellness, LLC
- Roxy J Sheffield
- Jawad Sheqwara
- Betsy Monalisa Shider
- Shirley Davis
- Robert Earl Shonk
- Shuman Healthcare
All providers in Waycross, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2008. 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.