Look up the most recent NPI and PECOS records

Shelby Michelle Adams

Pharmacist

Pharmacy Service Providers

6991 Old Jacksonville Hwy, Tyler, TX 75703-0579

PECOS Enrollment

Based on the most recent information from CMS, provider Shelby Michelle Adams does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1063060804
Provider Type
Individual
Full Name
Adams, Shelby Michelle
Credential
PHARMD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/26/2019
Last Updated
7/29/2021

Contact Information

Practice Location

6991 Old Jacksonville Hwy, Tyler, TX 75703-0579

(903) 747-3508

Unlisted Fax

Mailing Location

3425 Cottage Ct, Tyler, TX 75701-7068

(903) 651-1286

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 65298 Texas

Provider Identifiers

ID	Description	Issuer
ID 65298	Description Other	Issuer TSBP Texas

Shelby Michelle Adams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Chao, Michael Shang

Kang, Sarah

Veasy, Rafael

Lovett, Bryce Douglas

Dockery, Hunter Scott

Cantwell, Jessica Lynn

Ortiz, Hermes Jose

Krenek, Russell

Mbipeh, Brenda Tsehainzu

Thompson, Zachary