SHANNON DAWN BREWER (NPI# 1851581425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851581425 |
| Entity Type | Individual |
| Full Name | SHANNON DAWN BREWER |
| Credential | DOCTOR OF PHARMACY |
| Practice Address |
7050 Air Depot Blvd Tinker Afb OK 73145-8716 |
| Mailing Address |
5700 Arnold St Bldg 5801 Tinker Afb OK 73145-8105 |
| Practice Telephone | 4055826325 |
| Practice Fax Number | 4057362890 |
| Mailing Telephone | 4057362222 |
| Mailing Fax Number | 4057367272 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 10372 | OK | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
10372 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174831861 | Shannon Boothe Brewer | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2010-09-16 |
| 1194913772 | Shannon M Brewer | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-10-09 |
| 1588729172 | Shannon Renee Brewer | Dentist | 525 W Washington St, Carson City, NV 89703-3804 | 2006-12-26 |
| 1184794448 | Shannon Taylor Brewer | Psychologist | 132 Joe V. Knox Ave, Suite 104, Mooresville, NC 28117-9203 | 2006-11-08 |
| 1437228202 | Shannon Marie Brewer | Counselor | 1547 Parkway, Suite 100, Greenwood, SC 29646-4081 | 2006-11-07 |
| Street Address |
7050 AIR DEPOT BLVD |
| City | TINKER AFB |
| State | OK |
| Zip Code | 73145-8716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893084 | Michelle Marie Wueste | Pediatrics | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2005-10-04 |
| 1114486701 | James Neal Dillard IIi | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2019-03-14 |
| 1407313125 | Cindy Yie | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2019-02-28 |
| 1720501299 | William Moore | Student in an Organized Health Care Education/Training Program | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2017-07-17 |
| 1265954952 | Mark Gosnell Jr. | Military Health Care Provider | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2017-07-13 |
| 1245780170 | Mary Phillips | Social Worker | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2016-10-04 |
| 1528418175 | David Rodriguez | Family Medicine | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2016-06-14 |
| 1497120760 | Thaddeus Dwayne Mitcham | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2015-12-11 |
| 1659755064 | Benjamin Winston | Dentist | 7050 Air Depot Blvd, Sgdd, Tinker Afb, OK 73145-8716 | 2015-07-15 |
| 1063895068 | Andrea Theye | Psychologist | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2015-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630946 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tinker Afb Exchange, 3360 N. Avenue Bldg. 685, Tinker Afb, OK 73145 | 2020-02-07 |
| 1578863437 | Stephanie Brushett | Audiologist | 8941 Entrance Road A, Bldg 3334, Rm 125, Tinker Afb, OK 73145 | 2010-10-26 |
| 1972530053 | Mark Robert Bacon | Physician Assistant | 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 | 2006-06-26 |
| 1417945346 | Heather Renee' Ranger Kobel | Psychologist | 590 Mitchell Blvd, Tinker Afb, OK 73145 | 2005-10-13 |
| 1003332404 | Davis Brigman | Psychologist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-08-17 |
| 1801321393 | Carolyne Bangurah | Registered Nurse | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-04-21 |
| 1558748491 | Caitlin Clare Stevens | General Practice | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2015-04-29 |
| 1033498571 | Sarah Katherine Turbush | Dentist | 72d Medical Group, Tinker Afb, OK 73145 | 2011-08-16 |
| 1508000282 | Axelandra Tamar Sang | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145 | 2009-04-27 |
| 1790936466 | William David Hinojosa | Surgery | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2008-09-30 |
| Find all providers in zip 73145 | ||||
| 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 |
|---|---|---|---|---|
| 1144484486 | Kenneth Mark Richter | Pharmacist | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128957 | Stacy Crystel Gee | Pharmacist | 1007 N Country Club, Ada, OK 74820-2847 | 2020-06-15 |
| 1700345824 | Kermit Eugene Kay | Pharmacist | 5401 N Portland Ave Ste 250, Oklahoma City, OK 73112-2082 | 2019-03-18 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1396133674 | Clayton Herr | Pharmacist | 23 Roka Rdg, Stillwater, OK 74075-1230 | 2015-01-08 |
| 1396086948 | Gerry Oquinn | Pharmacist | 72928 S 330 Rd, Wagoner, OK 74467-9420 | 2013-03-06 |
| 1295001881 | William Dean Balfour-grice | Pharmacist | 301 S. Jt Stites St., Sallisaw, OK 74955 | 2012-03-28 |
| 1558693804 | Brooke Lynn Honey | Pharmacist | 4444 E 41st St Fl 2, Suite A, Tulsa, OK 74135-2527 | 2010-02-10 |
| 1720233422 | Charles Michael Gates | Pharmacist | 3009 Nw Wilson St., Attn: Credentials, Fort Sill, OK 73503-9042 | 2008-11-21 |
| 1982851564 | Gregg Buxton Dalley | Pharmacist | 1400 East Downing, Tahlequah, OK 74464 | 2008-08-26 |
| 1346405784 | Miki Lynn Finnin | Pharmacist | 790 W 147th Pl S, Glenpool, OK 74033-4436 | 2008-07-24 |
| Find all providers with the same taxonomy | ||||
| City | TINKER AFB |
| Zip Code | 73145 |
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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.