SHANNON LIN CORNELL (NPI# 1942594296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942594296 |
| Entity Type | Individual |
| Full Name | SHANNON LIN CORNELL |
| Credential | PHARM.D |
| Practice Address |
10302 156th St E Pharmacy Dept Puyallup WA 98374-9321 |
| Practice Telephone | 2536041067 |
| Practice Fax Number | 2536041077 |
| Mailing Telephone | 2536041067 |
| Mailing Fax Number | 2536041077 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP0006822W | WV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH10679 | SC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH00067684 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669734687 | Shannon Nicole Cornell | Counselor | 483 Fordham Rd, Wenonah, NJ 08090-1227 | 2012-06-14 |
| 1053872994 | Shannon Cornell | Behavior Technician | 1630 E Shaw Ave Ste 190, Fresno, CA 93710-8114 | 2019-03-25 |
| 1679951990 | Shannon Cornell | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2015-05-07 |
| Street Address |
10302 156TH ST E PHARMACY DEPT |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-9321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346498797 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10302 156th St E, Puyallup, WA 98374-9321 | 2008-08-28 |
| 1679029235 | Sinard Chao | Pharmacist | 10302 156th St E, Puyallup, WA 98374-9321 | 2016-09-01 |
| 1376941476 | Brittany Green | Pharmacist | 10302 156th St E, Puyallup, WA 98374-9321 | 2014-12-05 |
| 1023395720 | Jodi Moffitt | Pharmacist | 10302 156th St E, 2136, Puyallup, WA 98374-9321 | 2011-11-08 |
| 1285929331 | Henry Bun Lok Fong | Pharmacist | 10302 156th St E, Puyallup, WA 98374-9321 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| 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 |
|---|---|---|---|---|
| 1366051401 | Staci Mack | Pharmacist | 17927 97th Ln E, Puyallup, WA 98375-6319 | 2020-07-24 |
| 1376024638 | David Aaron Edward Corey | Pharmacist | 2130 W Pioneer, Puyallup, WA 98371-5266 | 2018-08-24 |
| 1710497284 | Gerald Conner Mcfaul | Pharmacist | 3909 10th St Se # 102, Puyallup, WA 98374-2189 | 2017-10-10 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1649680307 | Jason Farmer | Pharmacist | 17719 75th Ave E, Puyallup, WA 98375-3306 | 2014-05-04 |
| 1912340951 | Joanne Sorenson Iverson | Pharmacist | 3007 41st St Se, Puyallup, WA 98374-1740 | 2013-04-09 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1336498922 | Allen Shih | Pharmacist | 11012 Canyon Rd. East, Puyallup, WA 98373 | 2012-08-29 |
| 1316259104 | Vani Somasundaram | Pharmacist | 12811 Meridian E, Puyallup, WA 98373-5646 | 2010-07-08 |
| 1093035131 | Hee Do Park | Pharmacist | 9502 176th St E, Puyallup, WA 98375-9300 | 2010-06-10 |
| Find all providers in PUYALLUP | ||||
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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.