DEBRA SHINE (NPI# 1174535652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174535652 |
| Entity Type | Individual |
| Full Name | DEBRA SHINE |
| Practice Address |
211 W Monroe St Bangor MI 49013-1330 |
| Mailing Address |
61690 M 43 Bangor MI 49013-9621 |
| Practice Telephone | 2694277706 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| Street Address |
211 W MONROE ST |
| City | BANGOR |
| State | MI |
| Zip Code | 49013-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770593147 | Terryl Ensign | Pharmacist | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-09 |
| 1104930486 | Celia Lopez | Pharmacy Technician | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-17 |
| 1013929488 | Tina Marie Mitchell | Pharmacy Technician | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-13 |
| 1316959943 | Pamela Lynn Arkauskas | Pharmacy Technician | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| Find all providers in zip 49013 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033697867 | John Onori | Pharmacy Technician | 11 Basketball Ct, Bangor, ME 04401-7242 | 2018-08-02 |
| 1437639259 | Oluwapemi Emiola | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2018-08-21 |
| 1437639150 | Elizabeth Kiser | Pharmacy Technician | 1012 Union St, Bangor, ME 04401-3060 | 2018-08-21 |
| 1609356559 | Casey Marie Northup | Pharmacy Technician | 360 Broadway, Bangor, ME 04401-3900 | 2018-08-20 |
| 1881174019 | Nancy Adindu | Pharmacy Technician | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2018-08-16 |
| 1326527912 | Bethany Purinton | Pharmacy Technician | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2018-08-14 |
| 1285129122 | Parva Rahmanian | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2018-06-23 |
| 1780107441 | Nicholas Pettegrow | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2017-07-24 |
| 1578086229 | Nicole Anne Schields | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2017-07-24 |
| 1467975292 | Ledor Friday Teekate | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2017-07-24 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.