SHELLY I. COLEMAN (NPI# 1376856179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376856179 |
| Entity Type | Individual |
| Full Name | SHELLY I. COLEMAN |
| Credential | RPH |
| Practice Address |
3004 North St Nacogdoches TX 75965-2858 |
| Practice Telephone | 9365690183 |
| Practice Fax Number | 9365690553 |
| Mailing Telephone | 9365690183 |
| Mailing Fax Number | 9365690553 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23925 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629384235 | Shelly Marie Coleman | Pharmacy Technician | 2325 S Harvard Ave, Suite 400, Tulsa, OK 74114-3300 | 2010-08-20 |
| 1952436693 | Shelly Lee Coleman | Licensed Practical Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-02-22 |
| Street Address |
3004 NORTH ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619982709 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3004 North St, Nacogdoches, TX 75965-2858 | 2006-07-29 |
| 1952909442 | David Khuzistani | Pharmacist | 3004 North St, Nacogdoches, TX 75965-2858 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| 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 |
|---|---|---|---|---|
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1801837562 | John R Cody | Pharmacist | 212 North St, Nacogdoches, TX 75961-5260 | 2006-06-10 |
| 1922608710 | Samuel Than | Pharmacist | 1030 N University Dr, Nacogdoches, TX 75961-4208 | 2020-10-29 |
| 1083214100 | Ralph Donald Ballard | Pharmacist | 4810 North St, Nacogdoches, TX 75965-1876 | 2020-10-28 |
| 1952909442 | David Khuzistani | Pharmacist | 3004 North St, Nacogdoches, TX 75965-2858 | 2020-10-15 |
| 1225643117 | Sannya Salim | Pharmacist | 1216 South St, Nacogdoches, TX 75964-5942 | 2020-09-09 |
| 1720617020 | Kangni Wu | Pharmacist | 1030 N University Dr, Nacogdoches, TX 75961-4208 | 2020-04-07 |
| 1962067256 | Patricia Sue Madison | Pharmacist | 1205 N Mound St, Nacogdoches, TX 75961-4028 | 2019-05-02 |
| 1235794579 | David Glynn Bradley | Pharmacist | 917 E Austin St, Nacogdoches, TX 75965-2845 | 2019-05-02 |
| 1750945291 | Holly Bradley Hinze | Pharmacist | 917 E Austin St, Nacogdoches, TX 75965-2845 | 2019-04-30 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on SHELLY I. COLEMAN.
| 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.