Philip Albert McShane, PHARMD

Individual provider Active NPI Pharmacist · Pass Christian, MS

NPI 1467926360 · NPPES record last updated Jan 14, 2019

Key facts

NPI
1467926360
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
T-09484 (MS)
Practice address
12345 Vidalia Rd
Pass Christian, MS 39571-8309
Phone
(228) 255-7800
Fax
(228) 255-9999
NPI assigned
Jan 14, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
T-09484MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Loves Pharmacy, Inc Current Accepting new patients
Loves Pharmacy, Inc Current Accepting new patients
Loves Pharmacy & Gifts Inc Current Accepting new patients

Locations

12345 Vidalia Rd
Pass Christian, MS 39571
Phone (228) 255-7800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X T-09484 MS Yes

Addresses

Primary practice location

12345 Vidalia Rd
Pass Christian, MS 39571-8309

Mailing address

12345 Vidalia Rd
Pass Christian, MS 39571-8309
Phone (228) 255-7800

Other providers in Pass Christian, MS

All providers in Pass Christian, MS · Pharmacist in Mississippi

Sources for this page

Verify at the official NPI Registry.