SHANNON ZUCCA (NPI# 1407196363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407196363 |
Entity Type | Individual |
Full Name | SHANNON ZUCCA |
Practice Address |
500 Canyon Ridge Dr Austin TX 78753-1632 |
Practice Telephone | 5129738753 |
Mailing Telephone | 5129738753 |
Enumeration Date | 2013-02-28 |
Last Update Date | 2013-02-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 30686 | TX | Pharmacy Service Providers |
Street Address |
500 CANYON RIDGE DR |
City | AUSTIN |
State | TX |
Zip Code | 78753-1632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366418519 | Kirby Reed | Nurse Practitioner | 500 Canyon Ridge Dr, Suite J350, Austin, TX 78753-1632 | 2006-02-27 |
1134772122 | Richard Barnum Gustafson | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2019-07-19 |
1972059103 | Samir Alrajab | Dentist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2016-08-28 |
1396198552 | Melissa Jean Harper | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2016-07-22 |
1164853461 | Carrie Banigan Hodges | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-12-11 |
1497189195 | Gabrielle Mccart | Nurse Practitioner | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-08-29 |
1861733735 | Mark Zamutt | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2013-03-01 |
1558679662 | Rediclinic Austin, LLC | Clinic/Center | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-09-23 |
1437476256 | Todd Ellsworth | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-05-04 |
1720305634 | Anita Jenson | Pharmacist | 500 Canyon Ridge Dr, Austin, TX 78753-1632 | 2010-05-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
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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 |
---|---|---|---|---|
1730780230 | Han Nguyen | Pharmacist | 12900 N Interstate 35 Ste 5, Austin, TX 78753-1054 | 2020-11-03 |
1164022620 | Casey Nicole Franklin | Pharmacist | 13201 N Fm 620 Rd, Austin, TX 78717-1011 | 2020-10-26 |
1811595648 | Lisa Nguyen | Pharmacist | 6908 Colorado Bluffs Rd, Austin, TX 78744-3330 | 2020-10-14 |
1184231680 | Caroline Nguyen | Pharmacist | 12900 N Ih 35, Austin, TX 78753-1049 | 2020-09-29 |
1063028074 | Deepika Mcconnell | Pharmacist | 2102 Peach Tree St, Austin, TX 78704-2843 | 2020-09-16 |
1982218004 | Cassey Gracey | Pharmacist | 3201 Bee Caves Rd Ste 132, Austin, TX 78746-6777 | 2020-09-04 |
1518579440 | Cassandra Castillo | Pharmacist | 5908 Daly Dr, Austin, TX 78747-4101 | 2020-08-21 |
1194336834 | Shalini Tripathi | Pharmacist | 11506 Heathrow Dr, Austin, TX 78759-4428 | 2020-08-15 |
1528682986 | Charlotte C Boyce | Pharmacist | 4150 Freidrich Ln Ste I, Austin, TX 78744-1052 | 2020-06-02 |
1295356723 | Victoria Tackett | Pharmacist | 12005 Bee Caves Rd Ste 1a, Austin, TX 78738-6387 | 2020-05-06 |
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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.