AVANI SHUKLA (NPI# 1366937617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366937617 |
| Entity Type | Individual |
| Full Name | AVANI SHUKLA |
| Credential | PHARMD |
| Practice Address |
3607 Foley Glen Cir Fenton MI 48430-3432 |
| Practice Telephone | 8109690329 |
| Mailing Telephone | 8109690329 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302042210 | MI | Pharmacy Service Providers |
| Street Address |
3607 FOLEY GLEN CIR |
| City | FENTON |
| State | MI |
| Zip Code | 48430-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518224 | Brian James Voss | Pharmacist | 512 Deer Pointe Ct, Fenton, MO 63026-3061 | 2020-11-04 |
| 1568076149 | Sheri Chau | Pharmacist | 639 Winding Bluffs Dr, Fenton, MO 63026-5560 | 2020-09-01 |
| 1811345846 | Stephanie Failing | Pharmacist | 45 Gravois Bluffs Plaza Dr, Fenton, MO 63026-4012 | 2016-05-31 |
| 1689068124 | Lauren Newton | Pharmacist | 948 Woodway Cir, Fenton, MO 63026-3044 | 2015-03-23 |
| 1831474253 | Carlton O Bosse | Pharmacist | 209 S Alloy Dr, Fenton, MI 48430-3401 | 2011-10-17 |
| 1669756243 | Wendy Kaye Roe | Pharmacist | 5143 Romaine Spring Dr, Fenton, MO 63026-5842 | 2011-09-30 |
| 1629352216 | Jessica Follmer | Pharmacist | 1245 Newport Landing Dr, Fenton, MO 63026-6907 | 2011-09-30 |
| 1275816076 | Anthony Robert Williams | Pharmacist | 1051 Fenton Park Dr, Fenton, MO 63026-7613 | 2011-09-28 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1780975359 | Dana Marie Hill | Pharmacist | 1001 N. Leroy, Fenton, MI 48430 | 2011-04-29 |
| Find all providers in FENTON | ||||
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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.