DR. ANGELA HAZLEHURST (NPI# 1861866055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861866055 |
| Entity Type | Individual |
| Full Name | DR. ANGELA HAZLEHURST |
| Practice Address |
409 Mulberry Ave Selmer TN 38375-2307 |
| Practice Telephone | 7316454423 |
| Mailing Telephone | 7316454423 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 39580 | TN | Pharmacy Service Providers |
| Street Address |
409 MULBERRY AVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952428385 | Regina M Lambert | Pharmacist | 409 Mulberry Ave, Selmer, TN 38375-2307 | 2007-03-22 |
| 1194240473 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Mulberry Ave, Selmer, TN 38375-2307 | 2017-08-08 |
| 1902357270 | Erin Paige Simpson | Pharmacist | 409 Mulberry Ave, Selmer, TN 38375-2307 | 2016-10-20 |
| 1629228358 | Charles S. Moss | Pharmacist | 409 Mulberry Ave, Selmer, TN 38375-2307 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1568575249 | Ronnie Lee Fullwood | Dentist | 177 Court Ave, Selmer, TN 38375 | 2006-08-16 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| Find all providers in zip 38375 | ||||
| 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 |
|---|---|---|---|---|
| 1487201356 | Jack Tyler Joyner | Pharmacist | 185 W Court Ave, Selmer, TN 38375-2133 | 2019-08-24 |
| 1467727164 | Jesse Lott | Pharmacist | 103 S Y Sq, Selmer, TN 38375-1739 | 2012-03-13 |
| 1902100894 | Kathie Kellum | Pharmacist | 399 Mulberry Ave, Selmer, TN 38375-2305 | 2011-01-06 |
| 1952428385 | Regina M Lambert | Pharmacist | 409 Mulberry Ave, Selmer, TN 38375-2307 | 2007-03-22 |
| 1770531782 | David Petty | Pharmacist | 103 South Y Square, Selmer, TN 38375 | 2006-05-04 |
| 1588168710 | Julie Ann Mitchell | Pharmacist | 1017 Mulberry Ave, Selmer, TN 38375-3274 | 2018-03-21 |
| 1770087553 | Danny Eual Austin | Pharmacist | 1017 Mulberry Ave, Selmer, TN 38375-3274 | 2018-03-19 |
| 1023511896 | Hugh Brian Johnson | Pharmacist | 1017 Mulberry Ave, Selmer, TN 38375-3274 | 2018-03-17 |
| 1902357270 | Erin Paige Simpson | Pharmacist | 409 Mulberry Ave, Selmer, TN 38375-2307 | 2016-10-20 |
| 1124325022 | Christy Marie Doyle | Pharmacist | 270 E Court Ave, Suite C, Selmer, TN 38375-2304 | 2011-02-12 |
| Find all providers in SELMER | ||||
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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.