SHANE KNELL (NPI# 1275813818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275813818 |
| Entity Type | Individual |
| Full Name | SHANE KNELL |
| Credential | PHARMD |
| Practice Address |
406 Atlantic Blvd Neptune Beach FL 32266-4022 |
| Practice Telephone | 9042471953 |
| Mailing Telephone | 9042471953 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS47947 | FL | Pharmacy Service Providers |
| Street Address |
406 ATLANTIC BLVD |
| City | NEPTUNE BEACH |
| State | FL |
| Zip Code | 32266-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508871716 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2006-07-29 |
| 1063025435 | Joseph Koren | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2020-08-26 |
| 1841802501 | Brianna Christina Falcon | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2020-08-23 |
| 1801177217 | Edmund Ngu Foncha | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2011-08-30 |
| 1053692582 | Kimberly Kane | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2011-08-29 |
| 1669752168 | Charlotte Denise Akil | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2011-08-29 |
| 1629358130 | Laura Michelle Taylor | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2011-08-29 |
| 1992085476 | Jill Christine Fernandez | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2011-08-28 |
| 1336429802 | Anthony Lucian Cinca | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2011-08-28 |
| 1194979393 | Angelica U Doloroso | Nurse Practitioner | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2008-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098057 | Margaret Elizabeth Bernhart | Counselor | 800 3rd Street Ste C, Neptune Beach, FL 32266 | 2018-10-08 |
| 1144707753 | Matthew Hickman | Counselor | 804 3rd St Suite Ab, Neptune Beach, FL 32266 | 2018-07-26 |
| 1487172094 | Seabreeze Medical Pa | Internal Medicine | 320 3rd St Ste B, Neptune Beach, FL 32266 | 2017-09-03 |
| 1740714716 | Christine Coleman | Counselor | 804 3rd St Ste A&b, Neptune Beach, FL 32266 | 2017-04-17 |
| 1609227685 | Susan E. Stewart | Acupuncturist | 320 Third Street, Sutie B, Neptune Beach, FL 32266 | 2016-06-30 |
| 1407203078 | Lofton Creek Dental, Pa | Dentist | 109 Azalea Place, Neptune Beach, FL 32266 | 2016-05-24 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1689074817 | Elizabeth Phillips Broullire | Pharmacist | 630 Atlantic Blvd., Neptune Beach, FL 32266 | 2014-08-25 |
| 1740614775 | Surfside Dental Center, Pa. | Point of Service | 630-7 Atlantic Blvd., Neptune Beach, FL 32266 | 2013-08-27 |
| 1568725984 | Neptune Beach Pharmacy LLC | Pharmacist | 1529 Atlantic Blvd, Neptune Beach, FL 32266 | 2012-06-20 |
| Find all providers in zip 32266 | ||||
| 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 |
|---|---|---|---|---|
| 1871959437 | Miguel Alberto Ramirez-del Toro | Pharmacist | 1702 Strand St, Neptune Beach, FL 32266-4800 | 2016-01-12 |
| 1689074817 | Elizabeth Phillips Broullire | Pharmacist | 630 Atlantic Blvd., Neptune Beach, FL 32266 | 2014-08-25 |
| 1972102663 | Adam Lawlor | Pharmacist | 1209 Atlantic Blvd, Neptune Beach, FL 32266-1711 | 2020-10-22 |
| 1992319776 | Julie Le-huynh Ensz | Pharmacist | 630 Atlantic Blvd, Neptune Beach, FL 32266-4000 | 2020-08-31 |
| 1063025435 | Joseph Koren | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2020-08-26 |
| 1841802501 | Brianna Christina Falcon | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2020-08-23 |
| 1669711073 | Brad Vincent Cibik | Pharmacist | 1209 Atlantic Blvd, Neptune Beach, FL 32266-1711 | 2013-02-05 |
| 1356688964 | Chrisoula Marie Harris | Pharmacist | 630 Atlantic Blvd, Neptune Beach, FL 32266-4000 | 2013-01-16 |
| 1003153818 | Karla B Payne | Pharmacist | 630 Atlantic Blvd, Neptune Beach, FL 32266-4000 | 2013-01-14 |
| 1801177217 | Edmund Ngu Foncha | Pharmacist | 406 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 2011-08-30 |
| Find all providers in NEPTUNE BEACH | ||||
| City | NEPTUNE BEACH |
| Zip Code | 32266 |
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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.