DWAN SHASTA HAMONS (NPI# 1922301035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922301035 |
| Entity Type | Individual |
| Full Name | DWAN SHASTA HAMONS |
| Credential | PHARMD |
| Practice Address |
180 Red Oaks Shopping Center Ronceverte WV 24970 |
| Practice Telephone | 3046450310 |
| Mailing Telephone | 3046450310 |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
7147 | WV | Pharmacy Service Providers |
| Street Address |
180 RED OAKS SHOPPING CENTER |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| 1962652495 | Christopher Justin Rodebaugh | Dentist | 1498 Maplewood Ave., Ronceverte, WV 24970 | 2008-09-20 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760815591 | Kelsey D Henry | Pharmacist | 228 Shamrock Ln, Ronceverte, WV 24970-8380 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346640406 | Angela Dawkins | Pharmacist | 9503 Middletown Mall, Fairmont, WV 26554-2195 | 2014-08-26 |
| 1336401892 | Jeffrey Davis Eddy | Pharmacist | 2792 Keller Ln, Williamstown, WV 26187-8309 | 2012-06-11 |
| 1780988022 | Gregg Michael Stern | Pharmacist | 505 Virginia Ave., Smithers, WV 25186-0577 | 2010-12-30 |
| 1053636704 | Patrick Robert Huffman | Pharmacist | 200 Veterans Avenue, Beckley, WV 25801 | 2010-04-06 |
| 1548425994 | Laurie Ann Fromm | Pharmacist | 112 Partridge Ln, Beckley, WV 25801-3606 | 2008-07-25 |
| 1295341741 | Lindsey Christine Judy | Pharmacist | 72 Whitewater Ave, Fayetteville, WV 25840-9648 | 2020-09-21 |
| 1700490125 | Kate Forman | Pharmacist | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2020-09-02 |
| 1477162964 | Robert Logan Moneypenny | Pharmacist | 1 Medical Center Dr, Dept of Pharmaceutical Services 8045, Morgantown, WV 26506-1200 | 2020-07-30 |
| 1174132088 | Megan Ciborowski | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-07-27 |
| 1649896077 | Carol S Crosmun | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on DWAN SHASTA HAMONS.
| 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.