ALICIA LYN MCCOLLUM (NPI# 1538705843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538705843 |
| Entity Type | Individual |
| Full Name | ALICIA LYN MCCOLLUM |
| Credential | PHARMD |
| Practice Address |
1601 E Michigan Rd Shelbyville IN 46176-4058 |
| Mailing Address |
5528 Greenhill Pl Apt J Indianapolis IN 46237-7403 |
| Practice Telephone | 3174212356 |
| Mailing Telephone | 2565770231 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26028267A | IN | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26028267A | IN | Pharmacy Service Providers |
| Street Address |
1601 E MICHIGAN RD |
| City | SHELBYVILLE |
| State | IN |
| Zip Code | 46176-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184797607 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1601 E Michigan Rd, Shelbyville, IN 46176-4058 | 2006-11-15 |
| 1982240271 | Michael Kyle Thomas | Pharmacist | 1601 E Michigan Rd, Shelbyville, IN 46176-4058 | 2019-11-21 |
| 1023654332 | Tanya Richardson | Pharmacist | 1601 E Michigan Rd, Shelbyville, IN 46176-4058 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
| 1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
| 1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
| 1548595440 | Patrick A Wagner Phd PC | Psychologist | 1253 North Deer Run E Drive, Shelbyville, IN 46176 | 2009-10-09 |
| 1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| Find all providers in zip 46176 | ||||
| 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 |
|---|---|---|---|---|
| 1033645072 | Priscilla Patel | Pharmacist | 135 N Point Cir N, Shelbyville, TN 37160-7423 | 2017-05-11 |
| 1235564832 | Cher D Mitchell | Pharmacist | 2208 Antioch Rd, Shelbyville, KY 40065-9754 | 2013-09-13 |
| 1578995783 | Lauren Elizabeth Schisler | Pharmacist | 1605 Midland Trl, Shelbyville, KY 40065-1638 | 2013-07-30 |
| 1053689265 | Danny G Law | Pharmacist | 448 Naron Rd, Shelbyville, TN 37160-6729 | 2011-12-02 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| 1215060793 | William Carlyle Johnson | Pharmacist | 710 Madison St, Shelbyville, TN 37160-3519 | 2007-03-13 |
| 1750446365 | Pharmacists Assoc of Shelby Co Inc | Pharmacist | 207 S Pine, Suite 10, Shelbyville, IL 62565-1749 | 2006-12-26 |
| 1891856126 | Jamie Dawn Jefson | Pharmacist | 1603 W. Main Street, Shelbyville, IL 62565 | 2006-12-12 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 46176 |
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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.