KIMBERLY EVETTE SHANNON (NPI# 1700160694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700160694 |
| Entity Type | Individual |
| Full Name | KIMBERLY EVETTE SHANNON |
| Credential | RPH |
| Practice Address |
930 8th Ave W Palmetto FL 34221-4712 |
| Practice Telephone | 9417295250 |
| Practice Fax Number | 9417297899 |
| Mailing Telephone | 9417295250 |
| Mailing Fax Number | 9417297899 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS30747 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365975 | Kimberly Shannon | Dietitian, Registered | 3507 Craughwell Dr, Charlotte, NC 28209-1994 | 2019-09-12 |
| 1407396203 | Kimberly Shannon | Registered Nurse | 201 Mechanic St, Lexington, KY 40507-1086 | 2017-02-28 |
| 1922233212 | Kimberly Lynn Shannon | Marriage & Family Therapist | 118 E 8th St, Port Angeles, WA 98362-6129 | 2009-05-15 |
| 1598736266 | Kimberly Shannon | Internal Medicine | 1272 Garrison Dr, Murfreesboro, TN 37129-2598 | 2006-01-30 |
| Street Address |
930 8TH AVE W |
| City | PALMETTO |
| State | FL |
| Zip Code | 34221-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982619144 | Walgreen Co | Pharmacy | 930 8th Ave W, Palmetto, FL 34221-4712 | 2006-07-29 |
| 1215210323 | Stephanie Ann Luker | Pharmacist | 930 8th Ave W, Palmetto, FL 34221-4712 | 2011-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355418 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 9520 Buffalo Road, Palmetto, FL 34221 | 2019-06-17 |
| 1326571514 | Jacquelyn Marques | Behavioral Analyst | 615 Riviera Dunes Way, Apt. #307, Palmetto, FL 34221 | 2017-04-05 |
| 1821539883 | Amy Nicole Charles | Contractor | 1603 72nd St. Ct. East, Palmetto, FL 34221 | 2017-03-10 |
| 1295045946 | Garcia Optometric Corp | Optometrist | 508 10th Street East, Palmetto, FL 34221 | 2010-10-15 |
| 1669668273 | Diamond Family Medicine Pllc Donita Kay Diamond Sole Mbr | Family Medicine | 102 Riviera Dunes Way, Palmetto, FL 34221 | 2007-09-18 |
| 1699970731 | J Scott Maloney | Dentist | 317 7th St W, Palmetto, FL 34221 | 2007-06-19 |
| 1669687612 | Eli Kolp | Psychiatry & Neurology | 1604 3rd Street Cir E, Palmetto, FL 34221 | 2007-05-13 |
| 1134341548 | Amanda L Nevin | Dentist | 707 7th Street West, Palmetto, FL 34221 | 2007-05-03 |
| 1669697298 | Jessica Ann Stellaci | Physical Therapist | The Kidspot 410 10th Ave W., Palmetto, FL 34221 | 2007-04-17 |
| 1417069261 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 627 10th Street East, Palmetto, FL 34221 | 2006-08-31 |
| Find all providers in zip 34221 | ||||
| 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 |
|---|---|---|---|---|
| 1568859965 | Nicole Schuyler | Pharmacist | 8209 18th Ave E, Palmetto, FL 34221-8810 | 2015-04-23 |
| 1841689411 | David Padron | Pharmacist | 3416 100th Ct E, Palmetto, FL 34221-8004 | 2015-01-20 |
| 1073577342 | Jolyn Langford Garcia | Pharmacist | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2006-04-13 |
| 1306480520 | Tai Ngo | Pharmacist | 508 10th St E, Palmetto, FL 34221-4062 | 2019-10-30 |
| 1891208195 | Stephanie Nichole Sugarman | Pharmacist | 1101 8th Ave W, Palmetto, FL 34221-3809 | 2017-11-08 |
| 1164825014 | Camille Suarez | Pharmacist | 1101 8th Ave W, Palmetto, FL 34221-3809 | 2014-10-07 |
| 1225474950 | Jason Chapman Jones | Pharmacist | 405 Carlton Rd, Palmetto, GA 30268-1052 | 2013-05-21 |
| 1326386541 | Diana T Garcia | Pharmacist | 1101 8th Ave W, Palmetto, FL 34221-3809 | 2013-01-23 |
| 1801134481 | Jeffrey S Lee | Pharmacist | 1101 8th Ave W, Palmetto, FL 34221-3809 | 2013-01-16 |
| 1215210323 | Stephanie Ann Luker | Pharmacist | 930 8th Ave W, Palmetto, FL 34221-4712 | 2011-09-25 |
| Find all providers in PALMETTO | ||||
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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.