SHANNON TATE WELCH (NPI# 1841304441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841304441 |
| Entity Type | Individual |
| Full Name | SHANNON TATE WELCH |
| Credential | RPH |
| Practice Address |
1113 Hauck Dr Rolla MO 65401-2565 |
| Mailing Address |
20995 Co. Rd.3600 St. James MO 65559 |
| Practice Telephone | 5733649616 |
| Mailing Telephone | 5732650102 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 044753 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570892 | Shannon Renee Welch | Behavior Technician | 19802 Wilderness Dr, Caldwell, ID 83605-8078 | 2019-07-22 |
| 1699389270 | Shannon Casey Welch | Marriage & Family Therapist | 900 E Main St, Grass Valley, CA 95945-5853 | 2020-09-01 |
| 1306484399 | Shannon Welch | Massage Therapist | 7266 Portage St Nw, Massillon, OH 44646-7986 | 2019-12-20 |
| 1235609454 | Shannon Welch | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2018-11-30 |
| 1548796410 | Shannon Welch | Social Worker | 3542 Montgomery Hwy, Dothan, AL 36303-2165 | 2017-05-11 |
| 1639454192 | Shannon B Welch | Physical Therapist | 58 Portland Rd, Summit, NJ 07901-3045 | 2011-10-17 |
| Street Address |
1113 HAUCK DR |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891001418 | Jennifer Mae Loving | Pharmacist | 1113 Hauck Dr, Rolla, MO 65401-2565 | 2010-08-19 |
| 1215057005 | Sinks Pharmacy | Durable Medical Equipment & Medical Supplies | 1113 Hauck Dr, Rolla, MO 65401-2565 | 2007-03-29 |
| 1588772388 | Alicia Tenille Stricklin | Pharmacist | 1113 Hauck Dr, Rolla, MO 65401-2565 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| 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 |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1881952349 | Benedict C Anekwe | Pharmacist | 518 1st St Ne, Apt 2, Rolla, ND 58367-7204 | 2012-05-02 |
| 1174896195 | Alynda Loughridge Bradley | Pharmacist | 1605 Martin Springs Dr Ste 220b, Rolla, MO 65401-2980 | 2012-02-22 |
| 1114259454 | Heather Nelson | Pharmacist | 1003 S Bishop Ave, Rolla, MO 65401-4437 | 2010-02-11 |
| 1447430251 | Marilyn B Ekstam | Pharmacist | 708a N Pine St, Rolla, MO 65401-3138 | 2007-11-08 |
| 1063563138 | John L Keller | Pharmacist | 500 Hwy 72nd West Rolla, Hillcrest Shopping Ctr, Rolla, MO 65401 | 2007-01-16 |
| 1609936897 | Cornerstone Pharmacy, Inc | Pharmacist | 1216 E State Route 72, Rolla, MO 65401-3938 | 2006-12-11 |
| 1861577702 | Richard B. Mazanec | Pharmacist | 1108 Crinoidal Ave., Rolla, MO 65401 | 2006-10-26 |
| 1043308497 | St. John's Clinic Inc | Pharmacist | 1100 West 10th Street, Suite 150, Rolla, MO 65401 | 2006-10-11 |
| 1982716775 | Billie Fuller | Pharmacist | 1024 S. Bishop, Rolla, MO 65401 | 2006-08-31 |
| Find all providers in ROLLA | ||||
Please comment or provide details below to improve the information on SHANNON TATE WELCH.
| 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.