Shanna Tiffany Simon, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

17723 Issued in LA

Practice address

899 N Highway 171
Lake Charles, LA 70611-5034

Phone

(337) 855-4031

Fax

(337) 855-4034

NPI assigned

Aug 23, 2013

Last updated

Aug 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Freds Stores of Tennessee Inc

  dba Freds Pharmacy 3648

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1093969016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1508290768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 CHUCK DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055272",
            "telephone_number": "337-855-4031",
            "fax_number": "337-855-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N HIGHWAY 171",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115034",
            "telephone_number": "337-855-4031",
            "fax_number": "337-855-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SHANNA",
        "middle_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Simmons
• Shameka Shantl Simmons
• Jason Wayne Simms, APRN FNP-C
• Marcus Terrance Simon
• Marjorie Simon
• Stephanie Simon, FNP
• Casey Scott Simpson, LCSW
• Deshawna Sims
• Jason Sims
• Lakeisha Sims

• Pharmacist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.