DR. SHANA HOLLOPETER (NPI# 1245504000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245504000 |
| Entity Type | Individual |
| Full Name | DR. SHANA HOLLOPETER |
| Credential | PHARM.D. |
| Practice Address |
4500 N Cooper Ave Oklahoma City OK 73118-7803 |
| Mailing Address |
7711 Nw 113th Pl Oklahoma City OK 73162-2542 |
| Practice Telephone | 1800940996 |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 67976 | CA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 36316 | TN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 14751 | KY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 14571 | OK | Pharmacy Service Providers |
| Street Address |
4500 N COOPER AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-7803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003908153 | Alan Edward Mason | Pharmacist | 4500 N Cooper Ave, Oklahoma City, OK 73118-7803 | 2006-09-28 |
| 1740546662 | Kelsey Lynn Crawford | Pharmacist | 4500 N Cooper Ave, Oklahoma City, OK 73118-7803 | 2012-04-04 |
| 1679849202 | Brian James Monson | Pharmacist | 4500 N Cooper Ave, Oklahoma City, OK 73118-7803 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| 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 |
|---|---|---|---|---|
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| 1871108902 | Kayley Jordan | Pharmacist | 701 W Hefner Rd, Oklahoma City, OK 73114-6836 | 2020-09-15 |
| 1053925735 | Jennie Nguyen | Pharmacist | 519 Nw 23rd St Ste 109, Oklahoma City, OK 73103-1509 | 2020-09-01 |
| 1811527294 | Tara Ann Dominguez | Pharmacist | 3116 Nw 21st St, Oklahoma City, OK 73107-3010 | 2020-01-24 |
| 1730739871 | Calven Ngo | Pharmacist | 4301 S May Ave, Oklahoma City, OK 73119-3275 | 2019-09-19 |
| 1134776891 | Talitha Joy Nichols | Pharmacist | 390 Ne 36th St, Oklahoma City, OK 73105-2508 | 2019-08-19 |
| 1710531595 | Dillon Hayden | Pharmacist | 1122 Ne 13th St Ste 4201c, Oklahoma City, OK 73117-1039 | 2019-07-30 |
| 1225509904 | Liza Ann Martinez | Pharmacist | 3433 Nw 56th St Ste 140b, Oklahoma City, OK 73112-4430 | 2018-12-06 |
| 1215406962 | Jonathan Patrick Hanna | Pharmacist | 11101 Hefner Pointe Dr Ste 101, Oklahoma City, OK 73120-5054 | 2018-11-23 |
| 1689188310 | Bryan Ticer | Pharmacist | 825 Ne 10th St Ste 2a, Oklahoma City, OK 73104-5417 | 2017-11-16 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
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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.