SHAKAMAK HEALTH INC (NPI# 1164053617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164053617 |
| Entity Type | Organization |
| Organization Name | SHAKAMAK HEALTH INC |
| Practice Address |
346 E Main St Jasonville IN 47438-1510 |
| Practice Telephone | 8126659760 |
| Mailing Telephone | 8126659760 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | TRAVER WOLF (PHARMACIST/PRESIDENT) |
| Authorized Official Telephone | 8126659760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| SHAKAMAK PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477815868 | Shakamak Health Inc | Pharmacy | 346 E Main St, Jasonville, IN 47438-1510 | 2012-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SHAKAMAK HEALTH INC. | 14468 S State Road 59, Jasonville, IN 47438 |
| Street Address |
346 E MAIN ST |
| City | JASONVILLE |
| State | IN |
| Zip Code | 47438-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477815868 | Shakamak Health Inc | Pharmacy | 346 E Main St, Jasonville, IN 47438-1510 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902080302 | Ruth A Quinlan | Social Worker | Route 1, Box 343a, Jasonville, IN 47438 | 2007-12-20 |
| 1801383450 | Greene County General Hospital | Social Worker | 714 W Main St, Jasonville, IN 47438 | 2018-04-19 |
| 1386042653 | Greene County Health, Inc | Family Medicine | 714 W Main St, Jasonville, IN 47438-1323 | 2014-12-18 |
| 1730523671 | Billie Jo Fritch | Nurse Practitioner | 714 W Main St, Jasonville, IN 47438-1323 | 2013-04-22 |
| 1255699641 | Shakamak Medical Center, Inc. | Clinic/Center | 714 W Main St, Jasonville, IN 47438-1323 | 2012-04-24 |
| 1578904983 | Morgan Rene May Sparks | Music Therapist | 101 E Main St, Suite B, Jasonville, IN 47438-1505 | 2013-07-13 |
| 1750482246 | Mark Robinson Buckley | Dentist | 206 S Meridian St, Jasonville, IN 47438-1520 | 2006-09-26 |
| 1568992022 | Shakamak Family Dentistry, LLC | Dentist | 206 S Meridian St, Jasonville, IN 47438-1520 | 2017-06-18 |
| 1609866383 | Greene County General Hospital | Durable Medical Equipment & Medical Supplies | 800 E Ohio St, Jasonville, IN 47438-1607 | 2005-10-25 |
| 1851926687 | Karin Mcknight | Physical Therapist | 800 E Ohio St, Jasonville, IN 47438-1607 | 2020-03-12 |
| Find all providers in zip 47438 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1669030102 | Meds To You LLC | Pharmacy | 8250 Bash St Ste A3, Indianapolis, IN 46250-1938 | 2019-05-30 |
| 1083188973 | Circle City Pharmacy, LLC | Pharmacy | 65 E Garner Rd Ste 200, Brownsburg, IN 46112-7867 | 2019-01-14 |
| 1174091557 | Rubicon Dtp, LLC | Pharmacy | 5751 W 73rd St # A, Indianapolis, IN 46278-1741 | 2018-11-05 |
| 1962870295 | Pca Corrections LLC | Pharmacy | 1740 Williamsburg Dr Ste A, Jeffersonville, IN 47130-8066 | 2015-09-03 |
| 1407235013 | Cppltc LLC | Pharmacy | 482 W Navajo St Ste B, West Lafayette, IN 47906-1940 | 2015-05-28 |
| 1871986596 | N&m Investments | Pharmacy | 30 S Water St Ste B, Franklin, IN 46131-2316 | 2015-03-05 |
| 1588911895 | United Rx, LLC | Pharmacy | 2325 Pointe Pkwy, Carmel, IN 46032-3294 | 2012-08-07 |
| 1265674097 | Pauls Pharmacy Inc | Pharmacy | 4111 N Saint Joseph Ave, Evansville, IN 47720-1206 | 2009-03-25 |
| Find all providers with the same taxonomy | ||||
| City | JASONVILLE |
| Zip Code | 47438 |
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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.