Susan A. Shepard, D Ph.
Pharmacist in Dickson, TN. Individual provider (NPI-1).
NPI number1063563799
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1063563799
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan A. Shepard
- Credential
- D Ph.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 7147 | TN | Yes |
Practice location
104 Highway 70 EDickson, TN 37055-2034
Phone 615-446-5585 · Fax 615-446-7770
Mailing address
2505 Highway 48 NDickson, TN 37055-5804
Phone 615-446-0367 · Fax 615-446-0367
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Pharmacist providers in Dickson · All 802 providers in Dickson
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