SHANNON GOWEN (NPI# 1871061200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871061200 |
| Entity Type | Individual |
| Full Name | SHANNON GOWEN |
| Practice Address |
150 Niagara St Tonawanda NY 14150-1001 |
| Practice Telephone | 7166936400 |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2018-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 060868 | NY | Pharmacy Service Providers |
| Street Address |
150 NIAGARA ST |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14150-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447439823 | Todd Edward Martino | Pharmacist | 150 Niagara St, Tonawanda, NY 14150-1001 | 2007-11-01 |
| 1295002251 | Jamie L Keller | Pharmacist | 150 Niagara St, Tonawanda, NY 14150-1001 | 2011-11-18 |
| 1700118858 | Andrea Christina Krause | Pharmacist | 150 Niagara St, Tonawanda, NY 14150-1001 | 2010-01-31 |
| 1821278037 | Tops Markets LLC | Pharmacy | 150 Niagara St, Tonawanda, NY 14150-1001 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349338 | Jennifer Legrand | Dietitian, Registered | 62 Raintree Is Apt 10, Tonawanda, NY 14150 | 2019-08-01 |
| 1245707934 | Anthony John Dellavalle | Emergency Medicine | 341 Niagara Street, Tonawanda, NY 14150 | 2018-10-31 |
| 1871088450 | Karen Mittlefehldt | Physical Therapist | 2540 Sheridan Drive, Tonawanda, NY 14150 | 2018-06-26 |
| 1871017194 | Amanda Beth Mrzygut | Emergency Medical Technician, Basic | 269 Mapleview Dr, Tonawanda, NY 14150 | 2017-07-28 |
| 1700248648 | Nathan Willett | Technician, Other | 432 Forbes Ave., Tonawanda, NY 14150 | 2016-03-21 |
| 1831555432 | Safe Ride of Wny Inc | Taxi | 2813 Niagara St, Tonawanda, NY 14150 | 2016-01-12 |
| 1447509278 | Nancy Lynne Haas | Licensed Practical Nurse | 173 Linwood Ave, Tonawanda, NY 14150 | 2012-09-07 |
| 1558646331 | Nancy Cliff | Registered Nurse | 39 O'hara Rd, Tonawanda, NY 14150 | 2011-10-12 |
| 1801195979 | Joann Mirabella | Speech-Language Pathologist | 313 Wrexham Ct. North, Tonawanda, NY 14150 | 2011-03-15 |
| 1841593829 | Marie A Burger | Social Worker | 130 Syracuse St., Tonawanda, NY 14150 | 2010-12-13 |
| Find all providers in zip 14150 | ||||
| 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 |
|---|---|---|---|---|
| 1861041386 | Kathryn Sarah Jerz | Pharmacist | 355 Riverwalk Pkwy, Tonawanda, NY 14150-5837 | 2019-09-06 |
| 1851875447 | Brian Andrew Campbell | Pharmacist | 544 Morgan St, Tonawanda, NY 14150-1822 | 2018-09-19 |
| 1932584455 | Vincent A Dellavalle | Pharmacist | 341 Niagara St, Tonawanda, NY 14150-1907 | 2015-07-26 |
| 1912220948 | Sweta Soni | Pharmacist | 127 Paradise Ln, Apt 12, Tonawanda, NY 14150-2840 | 2010-03-04 |
| 1215269402 | Robert Radominski | Pharmacist | 756 Creekside Dr, Tonawanda, NY 14150-1305 | 2010-02-12 |
| 1871735696 | Krystal Lynn Hoffman | Pharmacist | 1717 Sheridan Dr, Tonawanda, NY 14223-1209 | 2009-03-25 |
| 1578740338 | Christine Nizialek | Pharmacist | 465 Kenmore Ave, Tonawanda, NY 14223-2821 | 2008-01-23 |
| 1497936561 | Arthur James Mccann | Pharmacist | 316 Moore Ave, Tonawanda, NY 14223-1652 | 2007-11-17 |
| 1285814343 | Kelly K Chillingworth | Pharmacist | 2330 Niagara Falls Blvd, Tonawanda, NY 14150-4759 | 2007-11-06 |
| 1447439823 | Todd Edward Martino | Pharmacist | 150 Niagara St, Tonawanda, NY 14150-1001 | 2007-11-01 |
| Find all providers in TONAWANDA | ||||
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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.