MR. SHAWN W. MCKALLAGAT (NPI# 1508920745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508920745 |
| Entity Type | Individual |
| Full Name | MR. SHAWN W. MCKALLAGAT |
| Credential | PHARMACIST |
| Practice Address |
349 N Main St Andover MA 01810-2687 |
| Mailing Address |
39 Fernwood Ave Haverhill MA 01835-8153 |
| Practice Telephone | 9784757779 |
| Practice Fax Number | 9784751662 |
| Mailing Telephone | 9785211492 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17278 | MA | Pharmacy Service Providers |
| Street Address |
349 N MAIN ST |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265486682 | Letourneau's Pharmacy, Inc. | Pharmacy | 349 N Main St, Andover, MA 01810-2687 | 2006-05-20 |
| 1033316138 | Mary Anyzeski | Registered Nurse | 349 N Main St, Andover, MA 01810-2687 | 2007-07-02 |
| 1316069149 | Joseph W. Desiato, M.d. PC | Pediatrics | 349 N Main St, Andover, MA 01810-2687 | 2007-04-04 |
| 1144346537 | Cynthia Mckallagat | Specialist | 349 N Main St, Andover, MA 01810-2687 | 2007-03-21 |
| 1811052335 | Cornelius M. Foley | Pharmacy Technician | 349 N Main St, Andover, MA 01810-2687 | 2006-12-26 |
| 1982768131 | Barbara J. Fleno | Pharmacist | 349 N Main St, Andover, MA 01810-2687 | 2006-12-21 |
| 1790862183 | Cataract and Laser Center of The North Shore, LLC | Clinic/Center | 349 N Main St, Andover, MA 01810-2687 | 2006-11-01 |
| 1164508339 | Robert A Keller | Nurse Anesthetist, Certified Registered | 349 N Main St, Cataract Laser Center, Andover, MA 01810 | 2006-10-31 |
| 1356435366 | Joseph William Desiato | Pediatrics | 349 N Main St, Andover, MA 01810-2687 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| 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 |
|---|---|---|---|---|
| 1871922088 | Pharmacon Drug P.a. Dba Andover Drug | Pharmacist | 307 W Hwy 54 Bldg 200, Andover, KS 67002-7848 | 2013-11-07 |
| 1619236882 | Fiona S Richardson | Pharmacist | 33 Linwood St, Andover, MA 01810-2747 | 2012-05-09 |
| 1679790133 | James A Vieira | Pharmacist | 2 Fun Flight Cir, Andover, MA 01810-1132 | 2007-04-19 |
| 1396720553 | Scott M Benson II | Pharmacist | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2005-12-09 |
| 1437757085 | Teri Ann Wiege | Pharmacist | 1851 Bunker Lake Blvd Nw, Andover, MN 55304-4010 | 2020-10-15 |
| 1447858915 | Zack D Gill | Pharmacist | 1851 Bunker Lake Blvd Nw, Andover, MN 55304-4010 | 2020-10-15 |
| 1336751353 | Brandon Rooney | Pharmacist | 440 N Andover Rd, Andover, KS 67002-9508 | 2020-08-20 |
| 1508486234 | Eva Jeptoo Serem | Pharmacist | 3633 Bunker Lake Blvd Nw, Andover, MN 55304-7402 | 2020-04-22 |
| 1447888029 | Emily Vukovic | Pharmacist | 270 E Main St, Andover, OH 44003 | 2020-03-30 |
| 1841826914 | Heather Teresiak | Pharmacist | 3633 Bunker Lake Blvd Nw, Andover, MN 55304-7402 | 2020-03-20 |
| Find all providers in ANDOVER | ||||
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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.