SHAWN FELLOWS (NPI# 1205240181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205240181 |
Entity Type | Individual |
Full Name | SHAWN FELLOWS |
Credential | PHARM.D. |
Practice Address |
322 Lake Ave Rochester NY 14608-1162 |
Mailing Address |
3690 East Ave Rochester NY 14618-3537 |
Practice Telephone | 5857218032 |
Mailing Telephone | 5857218032 |
Enumeration Date | 2014-06-18 |
Last Update Date | 2014-10-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
059191 | NY | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP447622 | PA | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH.03129582-1 | OH | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
A1-0004064 | DE | Pharmacy Service Providers |
Street Address |
322 LAKE AVE |
City | ROCHESTER |
State | NY |
Zip Code | 14608-1162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316963440 | Terri Ragin | Physician Assistant | 322 Lake Ave, Rochester, NY 14608-1017 | 2006-07-14 |
1174146435 | Kyle Andrews | Physician Assistant | 322 Lake Ave, Rochester, NY 14608-1162 | 2020-05-21 |
1255997581 | Kaitlyn Erin Kennedy | Physician Assistant | 322 Lake Ave, Rochester, NY 14608-1162 | 2019-05-13 |
1558879916 | Theresa Mcqueen | Dental Hygienist | 322 Lake Ave, Rochester, NY 14608-1162 | 2018-01-18 |
1487162533 | Colleen Obrien | Dietitian, Registered | 322 Lake Ave, Rochester, NY 14608-1162 | 2018-01-10 |
1659805026 | Nina Piazza | Family Medicine | 322 Lake Ave, Rochester, NY 14608-1162 | 2017-04-12 |
1710345384 | Sylvia Ann Johnson | Social Worker | 322 Lake Ave, Rochester, NY 14608-1162 | 2016-02-10 |
1962872812 | Amer Ali Musleh | Physician Assistant | 322 Lake Ave, Rochester, NY 14608-1162 | 2015-10-05 |
1023437704 | Branko Matich | Family Medicine | 322 Lake Ave, Rochester, NY 14608-1162 | 2014-04-10 |
1336574664 | Yathona Rashad Kennedy | Social Worker | 322 Lake Ave, Brown Square: Aljhc, Rochester, NY 14608 | 2013-09-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
Find all providers in zip 14608 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770034100 | Oliver Fischer | Pharmacist | 630 E Snell Rd, Rochester, MI 48306-2141 | 2016-10-20 |
1104232123 | Alexandra Danforth | Pharmacist | 259 Monroe Ave Ste 100, Rochester, NY 14607-3632 | 2014-07-10 |
1982989554 | Ole Olson | Pharmacist | 3444 Limerick Ln Ne, Rochester, MN 55906-8038 | 2011-10-14 |
1043312176 | Jeremy R Anderson | Pharmacist | 3041 Stonehedge Dr Ne, Mayo Clinic Family Clinic Northeast, Rochester, MN 55906-5426 | 2006-09-01 |
1457958670 | Andrew Choma | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-01 |
1003383647 | Razan El Melik | Pharmacist | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-11-01 |
1619483831 | Emily Rae Lyon | Pharmacist | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-12-26 |
1104330828 | Aleksandr Fesyuk | Pharmacist | 430 Spencerport Rd, Rochester, NY 14606-5219 | 2017-11-17 |
1114463510 | Kobi Nathan | Pharmacist | 3690 East Ave, Rochester, NY 14618-3537 | 2017-01-10 |
1770992208 | Tae Smith | Pharmacist | 601 Elmwood Ave, Box 617, Rochester, NY 14642-0001 | 2014-08-08 |
Find all providers in ROCHESTER |
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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.