Shannon Bates, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

E-16137 Issued in MS

Practice address

702 W Main St
Tupelo, MS 38804-3734

Phone

(662) 840-4818

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

No

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.

• Mississippi CVS Pharmacy LLC

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1760404453
  NPD (past)
• Mississippi CVS Pharmacy, L.L.C.

  • Pharmacy
  • Tupelo, MS
  • NPI 1184853970
  NPD (past)

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

• Shannon Strickland Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2022.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1922722503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 COUNTY ROAD 226",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347668",
            "telephone_number": "662-415-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043734",
            "telephone_number": "662-840-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "SHANNON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MS",
            "license": "E-16137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI BOARD OF PHARMACY",
            "identifier": "E-16137",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "STRICKLAND",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Ted Basil, PHARM. D.
• Jessica M Baskett, MS, LPC
• Bonnie N. Basler, MD
• Teresa R Bass, RN
• Lara Bataineh, M.D
• Sonya R Bates, NNP-BC
• Leody Caibigan Bautista, M.D.
• Jenni Baxter
• Be Hope, LLC
• Myesha Bean

• All providers in Tupelo, MS
• Pharmacotherapy Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.