DR. SHANNA KATHLEEN O'CONNOR (NPI# 1669790077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669790077 |
| Entity Type | Individual |
| Full Name | DR. SHANNA KATHLEEN O'CONNOR |
| Credential | PHARMD |
| Practice Address |
400 Celebration Pl Suite A150 Celebration FL 34747-4970 |
| Mailing Address |
2400 Henderson Mill Ct Ne Atlanta GA 30345-2210 |
| Practice Telephone | 4073034639 |
| Mailing Telephone | 3077604431 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS45530 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508377565 | Shanna O'connor | Counselor | 125 N Elm St, Westfield, MA 01085-3464 | 2017-10-18 |
| Street Address |
400 CELEBRATION PL SUITE A150 |
| City | CELEBRATION |
| State | FL |
| Zip Code | 34747-4970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439624 | Mark Samuel Crider | Specialist | 400 Celebration Pl, Suite A-310, Celebration, FL 34747-4970 | 2005-06-30 |
| 1407453624 | Samantha Norwood | Pharmacist | 400 Celebration Pl, Celebration, FL 34747-4970 | 2020-10-01 |
| 1679189674 | Hugo Garcia | Pharmacist | 400 Celebration Pl, Celebration, FL 34747-4970 | 2020-09-16 |
| 1689289761 | Reesie Elizabeth Yann | Pharmacist | 400 Celebration Pl, Celebration, FL 34747-4970 | 2020-09-15 |
| 1447861331 | Katey Rose Bryan | Registered Nurse | 400 Celebration Pl, Celebration, FL 34747-4970 | 2020-08-13 |
| 1437769411 | Elizabeth Ramirez | Nurse Practitioner | 400 Celebration Pl, Celebration, FL 34747-4970 | 2020-08-05 |
| 1508480773 | Kaylen Hope Oleary | Clinical Nurse Specialist | 400 Celebration Pl, Celebration, FL 34747-4970 | 2020-06-03 |
| 1407479496 | Kenny Londono | Marriage & Family Therapist | 400 Celebration Pl, Celebration, FL 34747-4970 | 2020-05-25 |
| 1306469655 | Roxana K Bruno-franco | Physical Therapist | 400 Celebration Pl, Celebration, FL 34747-4970 | 2020-05-21 |
| 1548805187 | Tykema Octavia Johnson | Registered Nurse | 400 Celebration Pl, Celebration, FL 34747-4970 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1538596309 | Chad Black Md, LLC | Family Medicine | 610 Sycamore Street Suite 130, Celebration, FL 34747 | 2013-10-10 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| Find all providers in zip 34747 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051316 | Amy Shook Talana | Pharmacist | 1530 Celebration Blvd, Celebration, FL 34747-5164 | 2020-01-04 |
| 1912340647 | Monica Taylor | Pharmacist | 400 Celebration Pl, Celebration, FL 34747-4970 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | CELEBRATION |
| Zip Code | 34747 |
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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.