SHANNON WICKLUND (NPI# 1770613184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770613184 |
| Entity Type | Individual |
| Full Name | SHANNON WICKLUND |
| Practice Address |
217 N. Main Str Heppner OR 97836-0427 |
| Mailing Address |
Po Box 296 Heppner OR 97836-0296 |
| Practice Telephone | 5416769158 |
| Practice Fax Number | 5416765015 |
| Mailing Telephone | 5416765259 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | T-0008894 | OR | Pharmacy Service Providers |
| Street Address |
217 N. MAIN STR |
| City | HEPPNER |
| State | OR |
| Zip Code | 97836-0427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275663692 | Murray Drugs, Inc. | Pharmacist | 217 N. Main Str, Heppner, OR 97836-0427 | 2007-03-06 |
| 1316070154 | Jennifer Palmer | Pharmacy Technician | 217 N. Main Str, Heppner, OR 97836-0427 | 2007-03-13 |
| 1164552758 | Ann Marie Murray | Pharmacist | 217 N. Main Str, Heppner, OR 97836-0427 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326623 | Elizabeth Ann Courtney | Counselor | 550 W. Sperry St., Heppner, OR 97836 | 2020-05-05 |
| 1861025454 | Riley Elaine Beagle | Specialist/Technologist | 285 Nw Baltimore, Heppner, OR 97836 | 2020-02-21 |
| 1306407135 | Olivia Jean Steffey | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97836 | 2019-06-24 |
| 1083179527 | Zaira Sanchez | Counselor | 104 Sw Kinkade Avenue, Boardman, OR 97836 | 2019-02-08 |
| 1053885798 | Paul Daniel Bane Jr. | Counselor | 550 W Sperry St., Heppner, OR 97836 | 2019-01-16 |
| 1225402449 | Laurie B Fieldman | Social Worker | 550 W Sperry St, Heppner, OR 97836 | 2015-11-27 |
| 1053749630 | Kasandra Kennedy | Counselor | 550 W. Sperry Street, Heppner, OR 97836 | 2013-10-17 |
| 1548561566 | Community Counseling Solutions | Respite Care | 68982 Willow Creek Drive, Heppner, OR 97836 | 2010-11-08 |
| 1073746541 | Shelley K Mccabe | Physical Therapist | 130 Ne Thompson Avenue, Heppner, OR 97836 | 2009-08-31 |
| 1588807689 | Gayle Hamann Johnston | General Practice | 564 E Pioneer Drive, Heppner, OR 97836 | 2009-04-20 |
| Find all providers in zip 97836 | ||||
| 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 |
|---|---|---|---|---|
| 1316070154 | Jennifer Palmer | Pharmacy Technician | 217 N. Main Str, Heppner, OR 97836-0427 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223356 | Sarah Miller | Pharmacy Technician | 8300 Sw Creekside Pl, Beaverton, OR 97008-8178 | 2020-10-20 |
| 1659991586 | Billy Dakota Medlin | Pharmacy Technician | 53 N 2nd St, Ashland, OR 97520-1889 | 2020-04-21 |
| 1881047553 | Kelli Tompkins | Pharmacy Technician | 2909 Daggett Ave Ste 225, Klamath Falls, OR 97601-7200 | 2016-07-19 |
| 1538550058 | Jinalyn Germond | Pharmacy Technician | 1813 W Harvard Ave Ste 210, Roseburg, OR 97471-2709 | 2015-02-06 |
| 1639443476 | Angela Lynn Mcginley | Pharmacy Technician | 20000 Se Highway 212, Damascus, OR 97089-8717 | 2012-02-24 |
| 1568750990 | Patricia Posteuca | Pharmacy Technician | 2602 Arbor Dr, West Linn, OR 97068-1104 | 2011-07-19 |
| 1487961272 | Peter James | Pharmacy Technician | 1215 Nw 23rd Ave, Portland, OR 97210-2905 | 2010-09-01 |
| 1356514145 | Kirk Thomas Gates | Pharmacy Technician | 12065 Sw Walnut St, Tigard, OR 97223-3033 | 2008-04-11 |
| 1013138338 | Joni Renee Killgore | Pharmacy Technician | 500 Summer St Ne, Salem, OR 97301-1063 | 2007-05-02 |
| 1780707547 | Ronald Johnson I | Pharmacy Technician | 3710 Southwest Us Veterans Hospital Road, Portland, OR 97239 | 2007-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANNON WICKLUND.
| 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.