DR. SHANNON PUKL (NPI# 1598165763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598165763 |
| Entity Type | Individual |
| Full Name | DR. SHANNON PUKL |
| Credential | PHARMD |
| Practice Address |
110 Berlin Rd Weston WV 26452-8366 |
| Practice Telephone | 3042692443 |
| Mailing Telephone | 3042692443 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP448359 | PA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP0008144 | WV | Pharmacy Service Providers |
| Street Address |
110 BERLIN RD |
| City | WESTON |
| State | WV |
| Zip Code | 26452-8366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275550303 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 110 Berlin Rd, Weston, WV 26452-8366 | 2006-07-16 |
| 1528668001 | Louis James Soltesz | Pharmacist | 110 Berlin Rd, Weston, WV 26452-8366 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| 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 |
|---|---|---|---|---|
| 1548868029 | Lemnda Tangyie | Pharmacist | 3911 San Simeon Ln, Weston, FL 33331-5057 | 2020-10-15 |
| 1316545007 | Michael Adu-gyamfi | Pharmacist | 1612 Highland Ave, Weston, WI 54476-4836 | 2020-10-14 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1184116949 | Thomas Brickenden | Pharmacist | 1801 Aspen Ln, Weston, FL 33327-2358 | 2018-06-06 |
| 1871958454 | Hyejin Ahn | Pharmacist | 476 Conservation Dr, Weston, FL 33327-2470 | 2015-12-23 |
| 1194199182 | Glenn Roy Antle | Pharmacist | 586 Spinnaker, Weston, FL 33326-2942 | 2015-11-14 |
| 1497121206 | Suja Samuel | Pharmacist | 2154 Hacienda Ter, Weston, FL 33327-2237 | 2015-08-15 |
| 1518343920 | Chooi Eng Yeoh | Pharmacist | 1888 Aspen Ln, Weston, FL 33327-2356 | 2015-08-07 |
| 1770989980 | Michael Fields | Pharmacist | 1524 Salerno Cir, Weston, FL 33327-1903 | 2014-11-15 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| Find all providers in WESTON | ||||
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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.