SHANCELINE ESOM TEBO
NPI 1962259218
Pharmacist in Travis Afb, CA

Active since May 03, 2024
60 MDG/MDTS, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-7657 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 16, 2024, May 3, 2024 (2 updates tracked since 2024).

About Shanceline Esom Tebo NPPES

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

SHANCELINE ESOM TEBO (NPI 1962259218) is an individual pharmacist in Travis Afb, California, licensed in Utah (10860415-1701) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1962259218
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSHANCELINE ESOM TEBO
Location Address60 MDG/MDTS, 101 BODIN CIRCLETravis Afb, CA 94535-1809
Mailing Address60 Mdg/mdts, 101 Bodin CircleTravis Afb, CA 94535-1809
Sole ProprietorNo
Enumeration DateMay 3, 2024
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1962259218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 10860415-1701
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.
60 MDG/MDTS, Travis Afb, CA 94535

Other Providers at the Same Location NPPES

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

Dietitian, Registered
60 MDG/MDTS, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535

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 Shanceline Tebo's NPI number?

The NPI number for Shanceline Tebo is 1962259218. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Shanceline Tebo located?

Shanceline Tebo practices at 60 Mdg/Mdts 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-7657.

What is Shanceline Tebo'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 Shanceline Tebo was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.