IndividualActive
Shane Mouser, PHARM.D.
NPI 1881076321 · Pharmacist · Portland, TN
Provider details
- NPI number
- 1881076321
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 39160 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
705 S Broadway St
Portland, TN 37148-1628
Phone: (615) 323-5050
Fax: (615) 323-5052
Street-level locationGet directions
Mailing address
503 Calista Rd
White House, TN 37188-9158
Registry dates
- Enumerated
- 2015-06-22
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.