MISS SHAVON MICHELLE OFFUTT (NPI# 1609217975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609217975 |
| Entity Type | Individual |
| Full Name | MISS SHAVON MICHELLE OFFUTT |
| Credential | SR.CPHT |
| Practice Address |
990 Baxter Ave Louisville KY 40204-2064 |
| Practice Telephone | 5025853239 |
| Practice Fax Number | 5025833162 |
| Mailing Telephone | 5025853239 |
| Mailing Fax Number | 5025833162 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 320101050741830 | KY | Pharmacy Service Providers |
| Street Address |
990 BAXTER AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043225279 | Walgreen Co | Pharmacy | 990 Baxter Ave, Louisville, KY 40204-2064 | 2006-07-29 |
| 1699387357 | Candice Richard | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2020-08-23 |
| 1871104497 | Amanda Presnell | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2020-08-17 |
| 1891078267 | James C Singletary | Pharmacist | 990 Baxter Ave, Walgreens, Louisville, KY 40204 | 2011-09-22 |
| 1346520988 | David E Watts | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2011-08-26 |
| 1609156215 | John Leslie Porter | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| 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 |
|---|---|---|---|---|
| 1952927188 | Caitlin Robinson | Pharmacy Technician | 4024 Poplar Level Rd Apt 12, Louisville, KY 40213-1575 | 2020-06-23 |
| 1457741100 | Karen Cathaleen Owens | Pharmacy Technician | 9502 Magnolia Ridge Dr Unit 202, Louisville, KY 40291-6777 | 2015-02-03 |
| 1598386914 | Jacob Wislocki | Pharmacy Technician | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-04-27 |
| 1104217116 | Christen Ferguson | Pharmacy Technician | 4640 Taylorsville Rd, Louisville, KY 40220-3530 | 2015-02-12 |
| 1184015547 | Laura White | Pharmacy Technician | 4174 Westport Rd, Louisville, KY 40207-2735 | 2015-02-06 |
| 1891185484 | Brittany Donnelly | Pharmacy Technician | 4101 Towne Center Dr, Louisville, KY 40241-4146 | 2015-02-03 |
| 1548650294 | Rachel Popham | Pharmacy Technician | 4174 Westport Rd, Louisville, KY 40207-2735 | 2015-02-03 |
| 1275923823 | Katherine L Perry | Pharmacy Technician | 7311 Jefferson Blvd, Louisville, KY 40219-6178 | 2015-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543816 | Joshua Scott Gue | Pharmacy Technician | 2929 Franklin St, Ashland, KY 41101-3812 | 2020-06-19 |
| 1174146880 | William I Day | Pharmacy Technician | 1501 Bull Lea Rd Ste 105, Lexington, KY 40511-1209 | 2020-05-28 |
| 1730708876 | Kymberli Ava Lander | Pharmacy Technician | 217 Woodgate Rd, Frankfort, KY 40601-4189 | 2020-04-09 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1154599702 | John Wu | Pharmacy Technician | 3199 Beaumont Centre Cir, Lexington, KY 40513-1709 | 2008-02-18 |
| 1245839828 | Helen Genette Holliday | Pharmacy Technician | 31 Big Hill Dr, Beattyville, KY 41311-8725 | 2020-10-23 |
| 1417577941 | Cody Patrick | Pharmacy Technician | 12544 Us Route 60, Ashland, KY 41102-9687 | 2020-04-24 |
| 1124650767 | Amber Dawn Courtney | Pharmacy Technician | 1210 Ky Highway 36 E Ste G6, Cynthiana, KY 41031-7493 | 2020-02-11 |
| 1043852106 | Melanie Buchanan-manning | Pharmacy Technician | 129 S Main St, Evarts, KY 40828 | 2019-10-10 |
| 1588194880 | Heath William Wentzel | Pharmacy Technician | 1307 Winchester Rd, Lexington, KY 40505-4124 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
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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.