SHANNON FAVELA (NPI# 1548692239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548692239 |
| Entity Type | Individual |
| Full Name | SHANNON FAVELA |
| Practice Address |
13831 Chalco Valley Pkwy Suite 101 Omaha NE 68138-6101 |
| Practice Telephone | 4025925244 |
| Mailing Telephone | 4025925244 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 2398 | NE | Pharmacy Service Providers |
| Street Address |
13831 CHALCO VALLEY PKWY SUITE 101 |
| City | OMAHA |
| State | NE |
| Zip Code | 68138-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104982404 | Tdcs, LLC | Durable Medical Equipment & Medical Supplies | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6145 | 2006-12-29 |
| 1669812285 | Nicole Cox | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-06-27 |
| 1376983940 | Nancy Wallace | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-06-27 |
| 1164866562 | Stephanie Bottorf | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-04-29 |
| 1841633245 | Brianne Paradise | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-04-16 |
| 1558704163 | Amanda Haynie | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-04-12 |
| 1821431438 | Carrie Friel | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2013-04-12 |
| 1740520584 | Stekradd Ventures Inc | Pharmacy | 13831 Chalco Valley Pkwy, Ste 101, Omaha, NE 68138-6101 | 2013-02-14 |
| 1336490226 | Andrew Horton | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2012-10-02 |
| 1497006381 | Erica Skorstad | Pharmacy Technician | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004513 | Pro Health Pain & Rehab LLC. | Chiropractor | 12744 Westport Parkway, Suite 1e, Lavista, NE 68138 | 2016-10-24 |
| 1750755831 | Today's Dental Elkhorn LLC | Clinic/Center | 20211 Manderson Street, Elkhorn, NE 68138 | 2015-11-30 |
| 1205165230 | Nina Dearmont Homan | Pharmacist | 10004 South 152nd St., Omaha, NE 68138 | 2009-12-22 |
| 1013131952 | Misty M Mitchell | Massage Therapist | 9905 Sapp Bros. Dr, Ste 4, Omaha, NE 68138 | 2007-04-12 |
| 1003105214 | Elizabeth Stephens Constance | Obstetrics & Gynecology | 7308 S 142nd St, Omaha, NE 68138 | 2011-03-29 |
| 1629244108 | Johanna L Hatcliff | Pharmacist | 14882 Giles Rd, Apt 101, Omaha, NE 68138-3148 | 2008-05-05 |
| 1700135084 | Kent R Brooks | Counselor | 14261 Rose Lane Rd, Omaha, NE 68138-3541 | 2012-09-02 |
| 1063878205 | Firstscan LLC | Clinic/Center | 9840 S 140th St, Suite 5, Omaha, NE 68138-3693 | 2016-01-04 |
| 1578509956 | Ah Pharmacy Services LLC | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2006-06-22 |
| 1003047507 | Professional Veterinary Products Ltd | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2009-07-31 |
| Find all providers in zip 68138 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1366851032 | Carrie Arnold | Pharmacy Technician | 13360 California St, Omaha, NE 68154 | 2014-08-07 |
| 1710243191 | Mckinzee A Abbott | Pharmacy Technician | 13660 California St., Omaha, NE 68154 | 2012-04-10 |
| 1487955068 | Kimberly Dawn Anderson | Pharmacy Technician | 13831 Chalco Valley Pkwy Ste 101, Omaha, NE 68138-6145 | 2010-11-12 |
| 1487779559 | Nicole Herbolsheimer | Pharmacy Technician | 10815 Old Mill Rd, Omaha, NE 68154-2607 | 2007-03-20 |
| 1164034849 | Richard Dunn | Pharmacy Technician | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-08-23 |
| 1982054094 | Kate A Grafel | Pharmacy Technician | 13660 California St, Omaha, NE 68154-5233 | 2016-06-20 |
| 1750771242 | Mahreen Haq | Pharmacy Technician | 17810 W Center Rd, Omaha, NE 68130-2308 | 2015-02-04 |
| 1477943066 | Brittney Harnack | Pharmacy Technician | 17810 W Center Rd, Omaha, NE 68130-2308 | 2015-02-03 |
| 1336539949 | Taysha Colgrove I | Pharmacy Technician | 17810 W Center Rd, Omaha, NE 68130-2308 | 2015-02-03 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on SHANNON FAVELA.
| 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.