DR. NIKOLAS SHAUGHNESSY (NPI# 1962804617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962804617 |
| Entity Type | Individual |
| Full Name | DR. NIKOLAS SHAUGHNESSY |
| Credential | PHARMD |
| Practice Address |
705 Elm St W Hampton SC 29924-3105 |
| Mailing Address |
1502 Benton Blvd Apt 3307 Pooler GA 31322-5146 |
| Practice Telephone | 8039434446 |
| Mailing Telephone | 2176910512 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 028080 | GA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 35745 | SC | Pharmacy Service Providers |
| Street Address |
705 ELM ST W |
| City | HAMPTON |
| State | SC |
| Zip Code | 29924-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020989 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 705 Elm St W, Hampton, SC 29924-3105 | 2006-09-07 |
| 1750879060 | Kevin Thompson | Pharmacist | 705 Elm St W, Hampton, SC 29924-3105 | 2018-04-23 |
| 1255877874 | Tony Jacobs | Pharmacist | 705 Elm St W, Hampton, SC 29924-3105 | 2017-01-07 |
| 1417350059 | Jessica Marie Favalora | Pharmacist | 705 Elm St W, Hampton, SC 29924-3105 | 2014-09-26 |
| 1639504343 | Rachel Hayes | Pharmacist | 705 Elm St W, Hampton, SC 29924-3105 | 2013-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295247526 | Brittany Bernardino | Pharmacist | 1703 Elm Street W, Hampton, SC 29924 | 2017-10-26 |
| 1497278345 | Bryce Alan Stafford | Pharmacist | 1703 Elm Street West, Hampton, SC 29924 | 2017-07-24 |
| 1427486034 | Teresa L Gooding | Pharmacist | 1703 Elm Stree West, Hampton, SC 29924 | 2013-10-16 |
| 1811241672 | Sc Department of Juvenile Justice | Community/Behavioral Health | 230 1st Street East, Suite 7, Hampton, SC 29924 | 2012-11-01 |
| 1164771994 | Katie M Krise | Pharmacist | 705 Elm Street West, Hampton, SC 29924 | 2012-09-07 |
| 1801164587 | Susan R Britt | Specialist | 707 Elm St, Hampton, SC 29924 | 2011-12-08 |
| 1821384728 | John C Wagner | Pharmacist | 1703 Elm St W, Hampton, SC 29924 | 2011-06-20 |
| 1235424367 | Stanley Joseph Sledziona Jr. | Pharmacist | 1703 Elm St. W, Hampton, SC 29924 | 2011-06-16 |
| 1194010348 | Denise A. Pinckney | Pharmacist | 1703 Elm St West, Hampton, SC 29924 | 2011-06-16 |
| 1154430049 | Francis Asbury Mills | Dentist | 202 3rd St. East, Hampton, SC 29924 | 2006-08-30 |
| Find all providers in zip 29924 | ||||
| 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 |
|---|---|---|---|---|
| 1942813399 | Scotte M Johnson | Pharmacist | 6 Treebark Pl, Hampton, VA 23666-2179 | 2020-08-26 |
| 1609494277 | Joshua Atere | Pharmacist | 100 Emancipation Dr Hampton, Hampton, VA 23667-0001 | 2020-07-10 |
| 1942853528 | Sylvia Gergis | Pharmacist | 303 Roane Dr, Hampton, VA 23669-2533 | 2019-07-22 |
| 1295247526 | Brittany Bernardino | Pharmacist | 1703 Elm Street W, Hampton, SC 29924 | 2017-10-26 |
| 1497278345 | Bryce Alan Stafford | Pharmacist | 1703 Elm Street West, Hampton, SC 29924 | 2017-07-24 |
| 1699217448 | Imani Tuck | Pharmacist | 227 Fox Hill Rd, Unit B1, Hampton, VA 23669-1739 | 2016-11-10 |
| 1659824688 | Tiana Johnson | Pharmacist | 8 Ravenscroft Ln, Hampton, VA 23669-4819 | 2016-07-26 |
| 1295188423 | Mark Moskal | Pharmacist | 321 Lafayette Rd # A, Hampton, NH 03842-2158 | 2016-07-22 |
| 1376998435 | Ikenna Stephen Okafor | Pharmacist | 1585 Briarfield Rd Apt 35, Hampton, VA 23666-4846 | 2016-04-26 |
| 1427486034 | Teresa L Gooding | Pharmacist | 1703 Elm Stree West, Hampton, SC 29924 | 2013-10-16 |
| Find all providers in HAMPTON | ||||
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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.