Healthcare Provider Details

I. General information

NPI: 1750239083
Provider Name (Legal Business Name): CHASITY MICHELLE SHELTON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 ADAMS AVE
MEMPHIS TN
38103-2816
US

IV. Provider business mailing address

9670 WOODLAND CREEK CV
CORDOVA TN
38018-3635
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-6339
  • Fax:
Mailing address:
  • Phone: 901-485-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23975
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: