DR. SHANE EPHLIN (NPI# 1699912709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699912709 |
| Entity Type | Individual |
| Full Name | DR. SHANE EPHLIN |
| Credential | PHARM.D. |
| Practice Address |
280 Pattonsville Rd Jackson OH 45640-9452 |
| Mailing Address |
215 Redondo Dr Jackson OH 45640-2042 |
| Practice Telephone | 7403958870 |
| Mailing Telephone | 7404181895 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03-1-27289 | OH | Pharmacy Service Providers |
| Street Address |
280 PATTONSVILLE RD |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-9452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815481 | Robert Jeffrey Elliott | Pharmacist | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2005-07-19 |
| 1407470719 | Randy Jackson | Nurse Anesthetist, Certified Registered | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2020-06-02 |
| 1497223192 | Karrie Joanne Lansing | Nurse Practitioner | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2018-11-12 |
| 1811465107 | Tyler Martin Glassburn | Pharmacist | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2018-11-05 |
| 1750871646 | Arthur Waverly Huntley II | Student in an Organized Health Care Education/Training Program | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2018-05-16 |
| 1265958490 | Tiffany Rupert | Nurse Practitioner | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2017-08-18 |
| 1831625797 | Leslee Rice | Family Medicine | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2017-05-11 |
| 1598290702 | Dana M. Wilkerson | Pharmacist | 280 Pattonsville Rd, Jackson, OH 45640 | 2017-04-25 |
| 1073979548 | Laura Paul | Nurse Practitioner | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2016-01-13 |
| 1427453703 | Tina M Perkins | Nurse Practitioner | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2014-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| 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 |
|---|---|---|---|---|
| 1679198071 | Sharon Lynn Nations | Pharmacist | 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 | 2020-06-11 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1598084618 | Wanda J Keahey | Pharmacist | 3029 Lilly St, Jackson, MS 39213-7246 | 2010-05-28 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1033729918 | Ashley Michelle Williams | Pharmacist | 4910 I 55 N, Jackson, MS 39211-5401 | 2020-08-05 |
| 1336757020 | Stephanie Balsman | Pharmacist | N168w21330 Main St, Jackson, WI 53037-9636 | 2020-07-19 |
| 1356988901 | Stephen O'neal | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2019-12-03 |
| 1376180190 | Matthew Gregory Benz | Pharmacist | 1100 W Argyle St, Jackson, MI 49202-2059 | 2019-12-01 |
| 1659939759 | Charlotte Whitney White | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2019-06-03 |
| 1518328913 | Angela Renee Hamilton | Pharmacist | 1500 E Woodrow Wilson Ave, Inpatient Pharmacy - Clinical Services, Jackson, MS 39216-5116 | 2016-03-11 |
| Find all providers in JACKSON | ||||
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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.