SHAWN FELLOWS


Address: 322 Lake Ave, Rochester, NY 14608-1162
Phone: 5857218032

SHAWN FELLOWS (NPI# 1205240181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 322 LAKE AVE
City ROCHESTER
State NY
Zip Code 14608-1162

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ROCHESTER
Zip Code 14608

Improve Information

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Dataset Information

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.

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