MRS. SHIRLEY ANN LUPPLACE (NPI# 1285961631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285961631 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY ANN LUPPLACE |
| Credential | RPH |
| Practice Address |
4350 Oak Park Ln Fort Worth TX 76109-1512 |
| Practice Telephone | 8179200600 |
| Practice Fax Number | 8179200346 |
| Mailing Telephone | 8179200600 |
| Mailing Fax Number | 8179200346 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 25892 | TX | Pharmacy Service Providers |
| Street Address |
4350 OAK PARK LN |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942215918 | Walgreen Co | Pharmacy | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2006-07-29 |
| 1346851912 | Scott Mclean Foley | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2020-08-16 |
| 1861003741 | Christina Diane Riley | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2020-08-13 |
| 1104456805 | Stephanie Rabino | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2020-01-22 |
| 1487164711 | Stefani Mary Campbell | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2017-09-29 |
| 1528482502 | Walgreen | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2014-02-11 |
| 1245663806 | Khadijah Owens | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2013-08-18 |
| 1255614418 | Purvi Ankit Vashi | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2011-09-23 |
| 1356678742 | Jill Watkins | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| 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 |
|---|---|---|---|---|
| 1194326157 | Phillip Alexander Smith | Pharmacist | 5261 Smokey Ridge Dr, Fort Worth, TX 76123-2896 | 2020-11-05 |
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1174124655 | Benjamin N Quaye | Pharmacist | 11436 Sorano Way Apt 17104, Fort Worth, TX 76244-1575 | 2020-11-02 |
| 1194325795 | Mai Hanh Dang | Pharmacist | 7557 Sienna Ridge Ln, Fort Worth, TX 76131-5119 | 2020-11-01 |
| 1306446521 | Shellie Woody Lindley | Pharmacist | 500 Throckmorton St Apt 2109, Fort Worth, TX 76102-3808 | 2020-10-27 |
| 1659988186 | Mckenzie Crockett | Pharmacist | 8600 Camp Bowie W Blvd, Fort Worth, TX 76116-6102 | 2020-09-29 |
| 1033729942 | Jamie Cheatheam | Pharmacist | 1225 Nighthawk Rd, Fort Worth, TX 76108-6988 | 2020-08-05 |
| 1598373334 | Henry Ngoc Nguyen | Pharmacist | 3100 S Hulen St, Fort Worth, TX 76109-1925 | 2020-07-17 |
| 1760007744 | Roy Nwakamma | Pharmacist | 4501 E Lancaster Ave # 105, Fort Worth, TX 76103-3210 | 2020-06-15 |
| 1265055107 | Priyank Patel | Pharmacist | 5317 Summer Meadows Dr, Fort Worth, TX 76123-1975 | 2020-05-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on MRS. SHIRLEY ANN LUPPLACE.
| 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.