Diane D. Shackelford, RPH,PHARMD,MHA

Primary specialty

PharmacistTaxonomy code 183500000X

License

6141 Issued in TN

Practice address

1310 24TH Ave S
Pharmacy Service (119)
Nashville, TN 37212-2637

Phone

(615) 873-6867

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1902919574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S",
            "address_2": "PHARMACY SERVICE (119)",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S",
            "address_2": "PHARMACY SERVICE (119)",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637",
            "telephone_number": "615-873-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "DIANE",
        "middle_name": "D.",
        "credential": "RPH,PHARMD,MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS24158",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "6141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine A Seymour, M.D.
• Kayla Lynn Seymour
• Robert Seymour, MD
• Casey Elizabeth Shaba, MD
• Nazek R Shabayek, M.D.
• Sarah Elaine Shadix, DMD
• Johanna Choate Shadoin, L.C.S.W.
• Paige Lee Shadowen
• Aaron Kyle Shadrick, LCSW
• Hayden Shafer, M.D.

• Pharmacist in Nashville, TN
• Providers in Nashville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.