SHELBY SUTTON ANDERSON (NPI# 1114495991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114495991 |
| Entity Type | Individual |
| Full Name | SHELBY SUTTON ANDERSON |
| Credential | PHARMD |
| Practice Address |
4500 S Lancaster Rd Dallas TX 75216-7167 |
| Practice Telephone | 2143589015 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
60684 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484106 | Shelby Nicole Anderson | Occupational Therapist | 2208 E Main St, Murfreesboro, TN 37130-5800 | 2020-07-09 |
| 1528628062 | Shelby K Anderson | Optometrist | 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 | 2019-06-17 |
| 1356906622 | Shelby Anderson | Behavior Technician | 5945 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2503 | 2019-05-02 |
| 1780155721 | Shelby Victoria Anderson | Case Manager/Care Coordinator | 2970 Sw Avalon Way, Seattle, WA 98126-2551 | 2018-12-17 |
| 1922513985 | Shelby Kathryn Anderson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-12-12 |
| 1740701630 | Shelby Anderson | Behavior Technician | 193 Market St, Kingston, PA 18704-5409 | 2017-06-29 |
| 1558896126 | Shelby Anderson | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-04-20 |
| 1851675466 | Shelby N Anderson | Speech-Language Pathologist | 605 Jefferson Davis Hwy, Fredericksburg, VA 22401-8403 | 2011-09-30 |
| 1538490040 | Shelby Leigh Anderson | Counselor | 340 Main St, Worcester, MA 01608-1604 | 2010-01-22 |
| 1255495768 | Shelby Anderson | Physical Therapy Assistant | 2700 Westside Dr Nw, Suite 103, Cleveland, TN 37312-3699 | 2006-12-20 |
| Street Address |
4500 S LANCASTER RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608178 | Lynn Brooks | Obstetrics & Gynecology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2005-09-06 |
| 1952909392 | Christy M Jacob | Occupational Therapist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-16 |
| 1861090680 | Jennifer Michelle Dejong | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-14 |
| 1639776511 | Hanh Kimberly Nguyen | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-05 |
| 1871190868 | Nida Khan | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-03 |
| 1720685969 | Elizabeth Anderson | Psychologist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-01 |
| 1780291104 | Regina Reynolds | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-29 |
| 1962018309 | Carl Lonell Lee | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-21 |
| 1407462393 | Bing Liu | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| 1508472457 | Dana Martin | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457807299 | Jordan Light | Pharmacist | 4500 S Lancaster Rd, Pharmacy Department, Dallas, TX 75216-7167 | 2016-08-31 |
| 1679812804 | Kalin Michael Clifford | Pharmacist | 4500 S Lancaster Rd, Building 7, Room 201, Dallas, TX 75216-7167 | 2013-02-07 |
| 1417074543 | Ronald Kevin Patrick | Pharmacist | 7310 S Westmoreland Rd, Dallas, TX 75237-2998 | 2007-03-23 |
| 1386791309 | Neal Dave | Pharmacist | 3535 Worth St, Dallas, TX 75246-2006 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527779 | James Michael Varnell | Pharmacist | 1900 Silkwood Ct, Keller, TX 76248-8471 | 2020-08-06 |
| 1497378673 | Billy James Poteet | Pharmacist | 5234 89th St, Lubbock, TX 79424-3548 | 2020-05-22 |
| 1780249516 | Jason Branson Sutton | Pharmacist | 3313 Essex Dr # 200, Richardson, TX 75082-9714 | 2019-05-07 |
| 1447758503 | Lyndsi White | Pharmacist | 302 Kylie Ct, Sulphur Springs, TX 75482-6633 | 2018-01-24 |
| 1750891412 | Craig Alan Inman | Pharmacist | 4717 W Wedgefield Rd, Granbury, TX 76049-4042 | 2017-10-09 |
| 1760855704 | Glen Anderson | Pharmacist | 31 Tennis Village Dr, Heath, TX 75032-5995 | 2015-11-12 |
| 1205255429 | Douglas Bryan Smock | Pharmacist | 3313 Essex Drive, Ste 200, Richardson, TX 75082 | 2014-04-15 |
| 1659718971 | Angela Klaire Bazaldua | Pharmacist | 1616 S Kentucky St Ste A140, Amarillo, TX 79102-5215 | 2013-05-28 |
| 1083954044 | Aketi Sturghill | Pharmacist | 4514 Rosemont Ave, Grand Prairie, TX 75052-3536 | 2013-02-27 |
| 1154665768 | J and D Pharmacy | Pharmacist | 12895 Josey Ln., #111, Farmers Branch, TX 75234 | 2012-11-20 |
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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.