SHANELL FELDERGOODMAN (NPI# 1962634907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962634907 |
| Entity Type | Individual |
| Full Name | SHANELL FELDERGOODMAN |
| Practice Address |
871 Uss James Madison Saint Marys GA 31547-2531 |
| Practice Telephone | 9125734264 |
| Mailing Telephone | 9125734264 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 0230009268 | VA | Pharmacy Service Providers |
| Street Address |
871 USS JAMES MADISON |
| City | SAINT MARYS |
| State | GA |
| Zip Code | 31547-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922316785 | D'metric Maudell Moss | Nurse's Aide | 881 Uss James Madison Raod, Naval Submarine Base, Kings Bay, GA 31547 | 2010-09-15 |
| 1023291788 | Jay D Carson | Military Health Care Provider | 1050 Uss Gerogia Ave, Kings Bay, GA 31547 | 2007-12-17 |
| 1568651321 | Westley Michael Durnell | Military Health Care Provider | 580 Uss Mariano G. Vallejo Ave, Nssc Medical, Kings Bay, GA 31547 | 2007-10-17 |
| 1013127497 | Cory Dean Sant | Military Health Care Provider | Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 | 2007-05-23 |
| 1982760492 | Rufus Benjamin Phillips | Pharmacist | Kingsbay Naval Base, Pharmacy, Kingsbay, GA 31547 | 2006-12-29 |
| 1083626949 | Michael Dennis Lappi | Preventive Medicine | Naval Branch Health Clinic Kings Bay, Kings Bay, GA 31547 | 2006-08-12 |
| 1578592838 | Eric Windsor Larson Sr. | Military Health Care Provider | 580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay, Kings Bay, GA 31547 | 2006-06-30 |
| 1104894294 | Cary Grinold | Nurse Practitioner | 881 Uss James Madison Road, Naval Ambulatory Care Center, Kings Bay, GA 31547 | 2006-03-14 |
| 1144429507 | Tony Wayne Lyle | Military Health Care Provider | 1061 Uss Tennessee Ave, Kings Bay, GA 31547 | 2007-07-16 |
| 1801853874 | Barry Wayne Downing | Military Health Care Provider | 881 Uss James Madison Rd, Kings Bay, GA 31547 | 2006-04-26 |
| Find all providers in zip 31547 | ||||
| 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 |
|---|---|---|---|---|
| 1922623800 | Ellie Hayes | Pharmacy Technician | 4 Railroad St, Saint Marys, PA 15857-1798 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647199 | Breiane Jackson | Pharmacy Technician | 2790 Cobb Pkwy Nw, Kennesaw, GA 30152-3455 | 2020-10-22 |
| 1730791732 | Anita H Smith | Pharmacy Technician | 286 Gibbs St, Homerville, GA 31634-2538 | 2020-08-20 |
| 1134730641 | Meghan Xanthe Baker | Pharmacy Technician | 3530 Wellington Ter, Rex, GA 30273-2361 | 2020-08-10 |
| 1669081352 | Steve Lavon Bell | Pharmacy Technician | 1608 Battlecreek Village Dr, Jonesboro, GA 30236-8530 | 2020-07-28 |
| 1235747650 | Marquitta Becker | Pharmacy Technician | 2917 Red Leaf Ct, Conyers, GA 30094-8028 | 2020-07-22 |
| 1922620228 | Jennifer Lamb | Pharmacy Technician | 175 Pebble Ridge Dr, Covington, GA 30014-8456 | 2020-05-11 |
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1023578887 | Kimber Hardy | Pharmacy Technician | 1547 Loco Church Rd, Lincolnton, GA 30817 | 2019-03-20 |
| 1700355989 | Renita D Lofton | Pharmacy Technician | 1371 Kimberly Way Sw Apt 7203, Atlanta, GA 30331-4643 | 2018-11-17 |
| 1083198840 | Michele Eilleen Dews | Pharmacy Technician | 4457 Township Dr # 12a, Oakwood, GA 30566-3299 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 31547 |
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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.