MICHAEL EVAN SHORE (NPI# 1790037695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790037695 |
| Entity Type | Individual |
| Full Name | MICHAEL EVAN SHORE |
| Credential | PHARMD |
| Practice Address |
551 S Hover St Longmont CO 80501-7920 |
| Mailing Address |
400 Cheyenne Dr Lafayette CO 80026-9229 |
| Practice Telephone | 7208644394 |
| Mailing Telephone | 7202802701 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17383 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578665071 | Michael Eugene Shore | Dentist | 335 W South Boulder Rd, Suite 4, Louisville, CO 80027-1196 | 2006-09-04 |
| 1932100641 | Michael W. Shore | Psychiatry & Neurology | 1500 Kings Hwy N, Suite 106, Cherry Hill, NJ 08034-2304 | 2005-08-03 |
| 1164422069 | Michael Jay Shore | Podiatrist | 3832 W Hillsboro Blvd, Deerfield Beach, FL 33442-9413 | 2005-07-21 |
| 1598760621 | Michael S Shore | Chiropractor | 29525 Canwood St, Ste 204, Agoura Hills, CA 91301-4231 | 2005-06-15 |
| 1285068940 | Michael Shore | Nurse Practitioner | 4750 Hempstead Station Dr, Kettering, OH 45429-5164 | 2013-08-29 |
| 1063526192 | Michael Don Shore | Clinical Neuropsychologist | 1947 Divisadero St, Suite 5, San Francisco, CA 94115 | 2006-08-18 |
| Street Address |
551 S HOVER ST |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-7920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154403517 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 551 S Hover St, Longmont, CO 80501-7920 | 2006-10-19 |
| 1578113460 | Gavin Randy Kloulubak | Pharmacist | 551 S Hover St, Longmont, CO 80501-7920 | 2019-09-13 |
| 1942756341 | Trevor Juth | Pharmacist | 551 S Hover St, Longmont, CO 80501-7920 | 2016-08-27 |
| 1215319132 | Jean Robert Kroeger IIi | Pharmacist | 551 S Hover St, Longmont, CO 80501-7920 | 2015-06-27 |
| 1225372675 | Kari Wiesen | Pharmacist | 551 S Hover St, T-2218, Longmont, CO 80501-7920 | 2012-11-23 |
| 1043561863 | Havrilla Vision Professional LLC | Optometrist | 551 S Hover St, Longmont, CO 80501-7920 | 2012-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| 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 |
|---|---|---|---|---|
| 1255860284 | Kate Morgan | Pharmacist | 1749 Main St Unit D, Longmont, CO 80501-7441 | 2017-06-04 |
| 1124415500 | Lisa Witzke | Pharmacist | 2148 Sherman St, Longmont, CO 80501 | 2015-04-23 |
| 1952707499 | Danelle Perricelli | Pharmacist | 950 Grandview Mdws Dr, M206, Longmont, CO 80503-7741 | 2014-11-11 |
| 1366862500 | Brenda Logsdon | Pharmacist | 1912 Red Cloud Rd, Longmont, CO 80504-1968 | 2014-04-25 |
| 1306112636 | Jenny Landis | Pharmacist | 11685 Montgomery Cir, Longmont, CO 80504-5202 | 2012-03-30 |
| 1285918953 | Cynthia Lee Smart | Pharmacist | 1940 Ionosphere St Unit 5, Longmont, CO 80504-8416 | 2011-09-29 |
| 1497038616 | Pamela Harre | Pharmacist | 2320 N Main St, Longmont, CO 80501-1135 | 2011-09-23 |
| 1053611889 | Gregory O'malley | Pharmacist | 1630 Pace St, Longmont, CO 80504-2119 | 2010-10-27 |
| 1114158805 | Rodger Paul Wilson | Pharmacist | 1138 Wyndemere Cir, Longmont, CO 80501-2322 | 2009-07-29 |
| 1073786877 | Donald William Prather | Pharmacist | 13810 Weld County Road 1, Longmont, CO 80504-9303 | 2008-04-12 |
| Find all providers in LONGMONT | ||||
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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.