SHATTO DRUG INC (NPI# 1871594895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871594895 |
| Entity Type | Organization |
| Organization Name | SHATTO DRUG INC |
| Other Organization Name | SHATTO'S FRONTIER DRUG |
| Practice Address |
1202 E Richards St Douglas WY 82633-2934 |
| Mailing Address |
Po Box 705 Douglas WY 82633-0705 |
| Practice Telephone | 3073585077 |
| Practice Fax Number | 3073586301 |
| Mailing Telephone | 3073585077 |
| Mailing Fax Number | 3073586301 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | MR. JANET SHATTO (PRESIDENT) |
| Authorized Official Telephone | 3073585077 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1995 | WY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | DEA NUMBER | AF9052781 | 01 |
| WY | 106589101 | 05 | |
| WY | 106589100 | 05 | |
| WY | NABP | 5201431 | 01 |
| Other Name | Type Code |
|---|---|
| Shatto's Frontier Drug | Doing Business As Name - Organization |
| Street Address |
1202 E RICHARDS ST |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750839767 | Kirsten Brown | Pharmacist | 1202 E Richards St, Douglas, WY 82633-2934 | 2016-09-19 |
| 1396158457 | Angela M Wilde | Pharmacist | 1202 E Richards St, Douglas, WY 82633-2934 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| Find all providers in zip 82633 | ||||
| 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 |
|---|---|---|---|---|
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1538461165 | Kariem Feisal Ismail | Pharmacist | 90 E 3rd St, Douglas, AZ 85607-3154 | 2010-12-02 |
| 1538483821 | Zakarry R Oban | Pharmacist | 1001 Laredo Dr, Douglas, WY 82633-3007 | 2010-03-16 |
| 1932431145 | Samuel Calvin Ray | Pharmacist | 1300 Madison Ave S, Douglas, GA 31533-4404 | 2010-02-12 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1174736177 | Suzanne Marie Crase | Pharmacist | 90 Fifth St., Douglas, AZ 85607 | 2007-05-07 |
| 1720129042 | Jan G. Scott | Pharmacist | 1401 Huffer Rd, Douglas, GA 31533-7611 | 2007-02-09 |
| 1033264478 | Carlos Edward Orendain | Pharmacist | 90 W 5th St, Douglas, AZ 85607-2851 | 2007-01-24 |
| 1730124587 | Mcraes Pharmacy of Douglas Inc | Pharmacist | 1002 Ward St W, Douglas, GA 31533-2251 | 2006-06-17 |
| 1942801311 | Hunter Phillips | Pharmacist | 1450 Bowens Mill Rd Se, Douglas, GA 31533-1500 | 2020-11-03 |
| Find all providers in DOUGLAS | ||||
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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.