DR. SHANE LANDON HATFIELD (NPI# 1275133548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275133548 |
| Entity Type | Individual |
| Full Name | DR. SHANE LANDON HATFIELD |
| Credential | PHARM.D. |
| Practice Address |
3201 W Broadway Blvd Sedalia MO 65301-2118 |
| Mailing Address |
1235 Cypress Ct Warrensburg MO 64093-8105 |
| Practice Telephone | 6608262144 |
| Mailing Telephone | 6606410675 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2014026376 | MO | Pharmacy Service Providers |
| Street Address |
3201 W BROADWAY BLVD |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154348571 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2006-07-16 |
| 1477153211 | Joan Marie Bowen | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-30 |
| 1275133563 | Connie Sue Rolf | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-27 |
| 1831799121 | Darby William Kernohan | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-27 |
| 1720274004 | Nelson Eyecare Inc. | Optometrist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2007-09-19 |
| 1952484578 | Wal-mart Stores East, Lp | Technician/Technologist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2006-10-24 |
| 1447356134 | Benjamin B Nelson | Optometrist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| 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 |
|---|---|---|---|---|
| 1700329414 | Kathryn Rae | Pharmacist | 27498 Worth Rd, Sedalia, MO 65301-1201 | 2016-11-29 |
| 1083963177 | Jesse O Sahlfeld | Pharmacist | 300 S. Ohio Ave, Sedalia, MO 65301 | 2012-09-05 |
| 1053479758 | Gibson Mcwhirt Corp | Pharmacist | 700 S Limit Ave, Sedalia, MO 65301-3900 | 2006-12-05 |
| 1477153211 | Joan Marie Bowen | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-30 |
| 1275133563 | Connie Sue Rolf | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-27 |
| 1831799121 | Darby William Kernohan | Pharmacist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2020-10-27 |
| 1568070563 | Bradley K Rowland | Pharmacist | 1700 S Ingram Ave, Sedalia, MO 65301-7536 | 2020-07-16 |
| 1669864534 | Rhiannon Cornine | Pharmacist | 801 S Limit Ave, Sedalia, MO 65301-5248 | 2015-03-02 |
| 1396086088 | Whitney D Poppinga | Pharmacist | 1700 S Ingram Ave, Sedalia, MO 65301-7536 | 2013-03-06 |
| 1558611640 | Frances M Thexton | Pharmacist | 1700 S Ingram Ave, Sedalia, MO 65301-7536 | 2012-09-15 |
| Find all providers in SEDALIA | ||||
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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.