SHANTEL THOMAS (NPI# 1952687410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952687410 |
| Entity Type | Individual |
| Full Name | SHANTEL THOMAS |
| Practice Address |
401 E Green Bay St Shawano WI 54166-2541 |
| Practice Telephone | 7155245600 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14522-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821463100 | Shantel Thomas | Counselor | 315 S. College Dr Suit 100, Lafayette, LA 70503 | 2015-12-11 |
| 1629170972 | Shantel I Thomas | Counselor | 1634 Central Pkwy, Cincinnati, OH 45202-6904 | 2006-09-05 |
| 1801440425 | Shantel Thomas | Registered Nurse | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2019-07-31 |
| 1255820601 | Shantel Denise Thomas | Specialist/Technologist, Other | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303 | 2018-05-01 |
| Street Address |
401 E GREEN BAY ST |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255346326 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 401 E Green Bay St, Shawano, WI 54166-2541 | 2006-07-29 |
| 1396379848 | Jakub Piotr Polakowski | Pharmacist | 401 E Green Bay St, Shawano, WI 54166-2541 | 2020-02-24 |
| 1497146047 | Adrienne Luebke | Pharmacist | 401 E Green Bay St, Shawano, WI 54166-2541 | 2015-02-17 |
| 1427334994 | Beau Nguyen | Pharmacist | 401 E Green Bay St, Shawano, WI 54166-2541 | 2011-10-28 |
| 1144470113 | Jessie Boeckman | Pharmacist | 401 E Green Bay St, Shawano, WI 54166-2541 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| 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 |
|---|---|---|---|---|
| 1689906901 | Justine Judy Smith | Pharmacist | 1211 E Green Bay St, Shawano, WI 54166-2207 | 2010-02-11 |
| 1366043325 | Timothy Dreier | Pharmacist | 117 S Main St, Shawano, WI 54166-2357 | 2020-11-05 |
| 1689273898 | Brian Wojcik | Pharmacist | 1244 E Green Bay St, Shawano, WI 54166-2208 | 2020-10-19 |
| 1174122386 | Lance Buth | Pharmacist | 1244 E Green Bay St, Shawano, WI 54166-2208 | 2020-10-19 |
| 1396379848 | Jakub Piotr Polakowski | Pharmacist | 401 E Green Bay St, Shawano, WI 54166-2541 | 2020-02-24 |
| 1841712551 | Morgan Steffens | Pharmacist | 1244 E Green Bay St, Shawano, WI 54166-2208 | 2017-07-13 |
| 1215463005 | Lori Lea Kagerbauer | Pharmacist | 117 S Main St, Shawano, WI 54166-2357 | 2017-05-11 |
| 1730562117 | Kelly Mckeown | Pharmacist | 117 S Main St, Shawano, WI 54166-2357 | 2015-07-03 |
| 1497146047 | Adrienne Luebke | Pharmacist | 401 E Green Bay St, Shawano, WI 54166-2541 | 2015-02-17 |
| 1023459666 | Rachel Nault | Pharmacist | 100 County Road B, Shawano, WI 54166 | 2013-07-11 |
| Find all providers in SHAWANO | ||||
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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.