SHAWN GRAY (NPI# 1033572219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033572219 |
| Entity Type | Individual |
| Full Name | SHAWN GRAY |
| Credential | PHARMD |
| Practice Address |
111 Division St N Stevens Point WI 54481-1150 |
| Practice Telephone | 7153415613 |
| Mailing Telephone | 7153415613 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17320-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831441625 | Shawn Gray | Social Worker | 2013 Northwood Dr, Salisbury, MD 21801-7882 | 2012-10-04 |
| 1578513040 | Shawn Rooney Gray | Nurse Practitioner | 857 E. Virginia, Beaumont, TX 77705 | 2006-05-12 |
| 1871902023 | Shawn Marie Gray | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2014-08-12 |
| Street Address |
111 DIVISION ST N |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942532270 | Joanne K Krasselt | Pharmacist | 111 Division St N, Stevens Point, WI 54481-1150 | 2010-02-11 |
| 1306162045 | Brian T Schwanz | Pharmacist | 111 Division St N, Stevens Point, WI 54481-1150 | 2010-04-19 |
| 1457683674 | Richard Wayne Kania | Pharmacist | 111 Division St N, Stevens Point, WI 54481-1150 | 2010-02-12 |
| 1043241185 | K Mart Corp | Pharmacy | 111 Division St N, Stevens Point, WI 54481-1150 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| 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 |
|---|---|---|---|---|
| 1053698159 | Kent James Udulutch | Pharmacist | 1584 S Ponderosa Dr, Stevens Point, WI 54482-8635 | 2011-11-03 |
| 1942532270 | Joanne K Krasselt | Pharmacist | 111 Division St N, Stevens Point, WI 54481-1150 | 2010-02-11 |
| 1740808237 | Josephine Brilowski | Pharmacist | 1600 Academy Ave, Stevens Point, WI 54481-1147 | 2020-07-10 |
| 1821622754 | Kristine Belanger | Pharmacist | 15 Park Ridge Dr, Stevens Point, WI 54481-4345 | 2020-03-01 |
| 1710534490 | Tessa Sain | Pharmacist | 1129 Main St, Stevens Point, WI 54481-2862 | 2019-08-19 |
| 1629469366 | Michael Jensen | Pharmacist | 1500 Pinecrest Ave, Stevens Point, WI 54481-4326 | 2015-02-17 |
| 1386040889 | Ashley Hesprich | Pharmacist | 3301 Church St, Stevens Point, WI 54481-5314 | 2014-11-10 |
| 1356744874 | Megan Santas | Pharmacist | 10 Park Ridge Dr, Stevens Point, WI 54481-4344 | 2014-09-29 |
| 1881018000 | Courtney Schill | Pharmacist | 1200 Main St, Stevens Point, WI 54481-2863 | 2014-02-07 |
| 1699109439 | Erin Mahoney | Pharmacist | 3301 Church St, Stevens Point, WI 54481-5314 | 2013-08-28 |
| Find all providers in STEVENS POINT | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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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.