DR. SHANE AUSTIN (NPI# 1942682604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942682604 |
| Entity Type | Individual |
| Full Name | DR. SHANE AUSTIN |
| Credential | PHARM.D. |
| Practice Address |
8660 Old Bonhomme Rd Apt B Saint Louis MO 63132-3936 |
| Practice Telephone | 6182016650 |
| Mailing Telephone | 6182016650 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
2014016781 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669899894 | Shane Nicholas Austin | Family Medicine | 5870 Hiatus Rd, Tamarac, FL 33321-6424 | 2014-03-26 |
| Street Address |
8660 OLD BONHOMME RD APT B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| 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 |
|---|---|---|---|---|
| 1740537554 | Stephanie Michelle Crist | Pharmacist | 520 Maryville Centre Dr Ste 500, Saint Louis, MO 63141-5840 | 2012-08-10 |
| 1477829406 | Albert Zvibleman | Pharmacist | 1830 Pickfair Dr, Saint Louis, MO 63146-3626 | 2012-03-23 |
| 1265662027 | Kristin Campbell Mahan | Pharmacist | 1031 Bellevue Ave Ste 300, Saint Louis, MO 63117-1857 | 2009-07-15 |
| 1386890127 | Jamie Reski | Pharmacist | 1800 S Brentwood Blvd Apt 10212, Saint Louis, MO 63144-1860 | 2008-08-12 |
| 1275170128 | Holly Przygoda | Pharmacist | 5055 Arsenal St, Saint Louis, MO 63139-1011 | 2019-12-10 |
| 1366099178 | Melissa Ann Stutz | Pharmacist | 6600 Clayton Rd, Saint Louis, MO 63117-1602 | 2019-08-26 |
| 1679129597 | Scott Boyle | Pharmacist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-08-15 |
| 1588221113 | Rebecca Brand | Pharmacist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-05-20 |
| 1194388405 | Madeline C Normansell | Pharmacist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-04-22 |
| 1164984886 | Nausheen Hasan | Pharmacist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-04-02 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63132 |
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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.