Provider Demographics
NPI:1013515741
Name:PARKEY, SHANNON M (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:M
Last Name:PARKEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 MAKENA COVE WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3156
Mailing Address - Country:US
Mailing Address - Phone:423-330-8639
Mailing Address - Fax:
Practice Address - Street 1:1005 MAKENA COVE WAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3156
Practice Address - Country:US
Practice Address - Phone:423-330-8639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN443551835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology