DR. MCKENZIE SHENK (NPI# 1093323339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093323339 |
| Entity Type | Individual |
| Full Name | DR. MCKENZIE SHENK |
| Credential | PHARMD |
| Practice Address |
1 Wyoming St Dayton OH 45409-2722 |
| Practice Telephone | 9372083152 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26027165A | IN | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
03438860 | OH | Pharmacy Service Providers |
| Street Address |
1 WYOMING ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134180 | Christopher Scott Croom | Obstetrics & Gynecology | 1 Wyoming St, Berry Bldg, Ground Fl, Dayton, OH 45409-2722 | 2005-06-16 |
| 1902412133 | Dustin Logan Warne | Registered Nurse | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-22 |
| 1356956965 | Yeri Noh | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-10 |
| 1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
| 1386257046 | Daryl Brown | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-08-24 |
| 1518578624 | Mary Goeller | Physician Assistant | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-12 |
| 1033720545 | Emily Newport | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-08-10 |
| 1447869433 | David Mark Peters Jr. | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-27 |
| 1376151787 | Zachary Sahadak | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
| 1487262754 | Mary Tremaine | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912197658 | Theodore Michael Bujak | Pharmacist | 325 Stillwater Dr, Dayton, NV 89403-9029 | 2007-07-30 |
| 1114033982 | Deborah Ann Quarles | Pharmacist | Dayton Vamc, 4100 W. Third St., Dayton, OH 45428 | 2006-08-22 |
| 1437157880 | David Michael Hartzell | Pharmacist | 230 N Main St, Dayton, OH 45402-1263 | 2005-07-11 |
| 1851397996 | John Raymond Miller | Pharmacist | 101 Wyoming St, Dayton, OH 45409-2732 | 2005-06-23 |
| 1538509187 | Mary Josephine Trout | Pharmacist | 128 E Apple St, Suite 1820, Dayton, OH 45409-2902 | 2013-06-27 |
| 1790040368 | Anne H Metzger | Pharmacist | 725 S Ludlow St, Dayton, OH 45402-2610 | 2012-07-10 |
| 1538338751 | Patricia Bowen Christoff | Pharmacist | 1 Childrens Plz, Dayton, OH 45404-1898 | 2008-02-21 |
| 1689886756 | Richard Lee Arends | Pharmacist | 1 Wyoming St, Pharmacy Department, Dayton, OH 45409-2722 | 2007-05-03 |
| 1861580136 | Bharat R Desai | Pharmacist | 4100 W 3rd St, Va Medival Center Hospital, Dayton, OH 45428-9000 | 2006-10-11 |
| 1346335155 | Rachel N Chandra | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-10-04 |
| Find all providers in DAYTON | ||||
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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.