DR. SHANE MOUSER PHARM.D.
NPI 1881076321
Pharmacist in Portland, TN

Active since June 22, 2015
705 S BROADWAY ST, PORTLAND, TN 37148(615) 323-5050(615) 323-5052 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shane Mouser Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANE MOUSER PHARM.D. (NPI 1881076321) is an individual pharmacist in Portland, Tennessee, licensed in Tennessee (39160) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1881076321
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. SHANE MOUSERCredential: PHARM.D.
Location Address705 S BROADWAY STPortland, TN 37148-1628
Mailing Address503 Calista RdWhite House, TN 37188-9158 · (615) 681-1060
Fax(615) 323-5052
Sole ProprietorNo
Enumeration DateJune 22, 2015
Last NPPES UpdateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
NPI 1881076321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TN · 39160
Definition
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.
705 S BROADWAY ST, Portland, TN 37148

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
705 S BROADWAY ST
PORTLAND, TN 37148
Pharmacist
705 S BROADWAY ST
PORTLAND, TN 37148
Physical Therapist (Orthopedic)
705 S BROADWAY ST, STE B
PORTLAND, TN 37148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Mouser's NPI number?

The NPI number for Shane Mouser is 1881076321. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Shane Mouser located?

Shane Mouser practices at 705 S Broadway St, Portland, TN 37148. The listed phone number is (615) 323-5050.

What is Shane Mouser's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Shane Mouser was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.