Active NPI
Christopher Jarvene Shackelford, RPH
- Pharmacist
- Nettleton, MS
National Provider Identifier
1376289470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-08819
- Practice address
- 7122 Will Robbins Hwy
Nettleton, MS 38858-5918 - Phone
- (662) 591-5234
- Fax
- (662) 591-5240
- NPI assigned
- May 11, 2022
- Last updated
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-08819 | MS | Primary |
Addresses
Primary practice location
7122 Will Robbins Hwy
Nettleton, MS 38858-5918
Mailing address
PO Box 439
Ripley, MS 38663-0439
Phone (662) 672-0191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-08819 | MS | MD | Pharmacist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Nettleton, MS
- NPI 1356973804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1376289470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 439",
"city": "RIPLEY",
"state": "MS",
"postal_code": "386630439",
"telephone_number": "662-672-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7122 WILL ROBBINS HWY",
"city": "NETTLETON",
"state": "MS",
"postal_code": "388585918",
"telephone_number": "662-591-5234",
"fax_number": "662-591-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHACKELFORD",
"first_name": "CHRISTOPHER",
"middle_name": "JARVENE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-08819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nettleton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.