SHANDA STEWART (NPI# 1356966733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356966733 |
| Entity Type | Individual |
| Full Name | SHANDA STEWART |
| Credential | CPHT |
| Practice Address |
413 Glenmore Dr Moncks Corner SC 29461-8855 |
| Practice Telephone | 7023388258 |
| Mailing Telephone | 7023388258 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| 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 |
413 GLENMORE DR |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-8855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| 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 |
|---|---|---|---|---|
| 1497303424 | Mary Katherine Bryan | Pharmacy Technician | 507 Huntington Rd, Easley, SC 29642-1944 | 2019-09-03 |
| 1386206043 | Meghan Avant | Pharmacy Technician | 101 Cherry Hall Dr Apt 14, Lexington, SC 29072-3579 | 2019-07-02 |
| 1023675386 | Amanda D Chojnacki | Pharmacy Technician | 104 Seavington Ct, Summerville, SC 29485-4012 | 2019-05-22 |
| 1437657269 | Siri K Akwiembi | Pharmacy Technician | 564 Heron Glen Dr, Columbia, SC 29229-8083 | 2018-01-26 |
| 1902304710 | Terence Nanji | Pharmacy Technician | 1340 Longcreek Dr Apt 1212, Columbia, SC 29210-7181 | 2018-01-26 |
| 1073969432 | Gloria Rivers | Pharmacy Technician | 1661 Eider Down Dr., Summerville, SC 29415 | 2016-05-04 |
| 1093185969 | Carrie Hourigan | Pharmacy Technician | 4216 Wildwood Lndg, North Charleston, SC 29420-7535 | 2015-10-04 |
| 1174773691 | Christopher Ryan Templeton | Pharmacy Technician | 1415 Highway 17 N, Surfside Beach, SC 29575-6012 | 2008-09-19 |
| 1194972380 | Chanda D Harrison | Pharmacy Technician | 25 Courtney Dr, Rm 4219, Charleston, SC 29425-0001 | 2008-08-19 |
| 1033317110 | Sandra Justice | Pharmacy Technician | 1530 Mclure Ct, Florence, SC 29505-6174 | 2007-07-10 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
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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.