TOMMY RAY SHIELDS (NPI# 1104474956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104474956 |
| Entity Type | Individual |
| Full Name | TOMMY RAY SHIELDS |
| Practice Address |
680 Highway 51 Ste G Ridgeland MS 39157-2103 |
| Practice Telephone | 6018534611 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E07064 | MS | Pharmacy Service Providers |
| Street Address |
680 HIGHWAY 51 STE G |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869258 | Hunter Arnold | Pharmacist | 680 Highway 51 Ste G, Ridgeland, MS 39157-2103 | 2019-09-10 |
| 1558910778 | Emily Lewis | Pharmacist | 680 Highway 51 Ste G, Ridgeland, MS 39157-2103 | 2019-09-10 |
| 1073162293 | Charles Berry | Pharmacist | 680 Highway 51 Ste G, Ridgeland, MS 39157-2103 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386297570 | Carlos Black | Pharmacist | 864 Wilson Dr Ste B, Ridgeland, MS 39157-4512 | 2019-07-17 |
| 1336689801 | Ronald Edward Waller | Pharmacist | 240 Highpoint Dr, Ridgeland, MS 39157-6019 | 2017-03-03 |
| 1396020970 | Kacie Ellen Ratliff | Pharmacist | 6910 Old Canton Rd, Ridgeland, MS 39157-1229 | 2011-10-14 |
| 1922388081 | Romeo Saclolo Abangan Jr. | Pharmacist | 405 Old House Rd, Unit 102, Ridgeland, SC 29936-6946 | 2011-08-22 |
| 1407145394 | Angela Michelle Hall | Pharmacist | 8225 E Main St, Unit F, Ridgeland, SC 29936-9508 | 2011-03-31 |
| 1548569593 | Lindy Gray Mcmanus | Pharmacist | 398 Highway 51, Rite Aid Pharmacy, Ridgeland, MS 39157-3401 | 2011-03-16 |
| 1508174996 | Tracey Kinsey | Pharmacist | 1048 Highland Cove Pl, Ridgeland, MS 39157-1522 | 2010-09-20 |
| 1568612182 | Peyton L Herrington | Pharmacist | 398 Highway 51 N, Ridgeland, MS 39157-4430 | 2008-09-19 |
| 1760582290 | Jade Lee | Pharmacist | 311 Hunters Crst, Ridgeland, MS 39157-8747 | 2006-09-24 |
| 1699375295 | Marquitta Bolden | Pharmacist | 815 S Wheatley St, Ridgeland, MS 39157-5002 | 2020-11-01 |
| Find all providers in RIDGELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.