SHANA SULLIVAN (NPI# 1093085326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093085326 |
| Entity Type | Individual |
| Full Name | SHANA SULLIVAN |
| Credential | PHARMD |
| Practice Address |
300 N Slappey Blvd Albany GA 31701-1406 |
| Practice Telephone | 2294305541 |
| Practice Fax Number | 2294308930 |
| Mailing Telephone | 2294305541 |
| Mailing Fax Number | 2294308930 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH023617 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898806 | Shana Kate Sullivan | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2020-10-13 |
| 1003856147 | Shana L Sullivan | Chiropractor | 2410 Hwy 72 221 E, Greenwood, SC 29649-9722 | 2006-06-07 |
| Street Address |
300 N SLAPPEY BLVD |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245413244 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 300 N Slappey Blvd, Albany, GA 31701-1406 | 2007-12-12 |
| 1326652439 | Khushbu Raval | Pharmacist | 300 N Slappey Blvd, Albany, GA 31701-1406 | 2020-09-04 |
| 1548872864 | Haeju An | Pharmacist | 300 N Slappey Blvd, Albany, GA 31701-1406 | 2020-08-18 |
| 1235637695 | Riddhi Patel | Pharmacist | 300 N Slappey Blvd, Albany, GA 31701-1406 | 2018-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1649889726 | Christopher John Moorvartian | Pharmacist | 881 Meadow Ct Ne, Albany, OR 97322-3501 | 2020-07-24 |
| 1639792930 | Cadesia Gail Irvin | Pharmacist | 304 Virginia Ave, Albany, GA 31705-4548 | 2020-05-20 |
| 1326669300 | Thuha T Nguyen | Pharmacist | 2414 Sylvester Hwy, Albany, GA 31705-2469 | 2020-05-01 |
| 1205462462 | Laura Dunn-mahar | Pharmacist | 153 Central Ave Ste 1, Albany, NY 12206-2941 | 2020-03-19 |
| 1275178576 | Ccpb | Pharmacist | 903 N Cross St, Albany, KY 42602-1617 | 2019-11-10 |
| 1801430624 | Robert Joseph Esponge IIi | Pharmacist | 29148 S Montpelier Rd, Albany, LA 70711-4320 | 2019-11-05 |
| 1275038721 | Nicholas Bowen | Pharmacist | 728 Madison Ave # B1, Albany, NY 12208-3302 | 2018-03-27 |
| 1275045965 | Kyung Oh | Pharmacist | 713 Spokane Ave, Albany, CA 94706-1710 | 2017-11-02 |
| 1346759669 | Stephanie Tchen | Pharmacist | 315 S. Manning Blvd, Albany, NY 12208 | 2017-09-29 |
| Find all providers in ALBANY | ||||
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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.