DR. LEIGHCRAFT A SHAKES (NPI# 1972880979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972880979 |
| Entity Type | Individual |
| Full Name | DR. LEIGHCRAFT A SHAKES |
| Credential | PHARMD |
| Practice Address |
655 7th St Bldg 700a7878 Robins Afb GA 31098 |
| Mailing Address |
655 7th St Bldg 700-a78 Robins Afb GA 31098-2227 |
| Practice Telephone | 4783278164 |
| Mailing Telephone | 4783278164 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2019-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
21794 | NC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MILITARY | 21794 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3250 Zemke Ave, Tampa, FL 336215023 | 8138279311 | 8138272346 |
| Street Address |
655 7TH ST BLDG 700A7878 |
| City | ROBINS AFB |
| State | GA |
| Zip Code | 31098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213128 | Donelle Lamont Clark | Nurse Practitioner | 655 7th St Bldg 700a7878, Robins Afb, GA 31098-2227 | 2019-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679426 | Lori Demello | Behavioral Analyst | 477 Holly Drive, Warner Robins, GA 31098 | 2016-02-15 |
| 1760885057 | John A Kauderman Jr. | Optometrist | 655 South 7th St Bldg 700/700a, Robins Afb, GA 31098 | 2014-10-01 |
| 1255757183 | Damon Jamel Murphy | Psychologist | 655 South 7th St Bldg 700, 78 Mdg/sgpo, Robins Afb, GA 31098 | 2014-03-17 |
| 1548697485 | John Dye Jr. | Military Health Care Provider | 655 Seventh St., Robins Afb, GA 31098 | 2013-10-10 |
| 1881028009 | Michael Adam Lang | General Practice | Building 700a, Robins Afb, GA 31098 | 2013-08-23 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1851646830 | David Alan Lunsford Jr. | Physical Therapist | 655 South 7th St Bldg 700/700-a, 78 Mdg/sgoy, Robins Afb, GA 31098 | 2012-07-17 |
| 1154625101 | Carolina Anna Perez | Counselor | 655 Seventh Street, Robins Afb, Warner Robines, GA 31098 | 2011-01-05 |
| 1811128754 | Shawn Christopher Moore | Military Health Care Provider | 655th 7th Street, Robins Afb, GA 31098 | 2009-07-27 |
| 1649414897 | Kirsten Charel Guy | Military Health Care Provider | 665 Seventh St., Robins Afb, GA 31098 | 2009-04-30 |
| Find all providers in zip 31098 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101741 | Nikesh Patel | Pharmacist | 114 Gentle Breeze Ct, Temple, GA 30179-5432 | 2020-07-16 |
| 1023460615 | Sy Le | Pharmacist | 891 Channel Dr, Lawrenceville, GA 30046-8480 | 2016-07-06 |
| 1619350287 | Erskine Cartwright IIi | Pharmacist | 1205 Hwy 88, Keysville, GA 30816 | 2015-07-01 |
| 1871907279 | Mohamed Nesredin Ahmedin | Pharmacist | 2718 Woodcrest Dr Apt H, Augusta, GA 30909-0431 | 2014-06-13 |
| 1710302153 | Elizabeth Estelle Corwell Miller | Pharmacist | 1900 Jacolyn Pl Ne, Atlanta, GA 30329-3316 | 2014-02-21 |
| 1669736286 | Bharti Singh | Pharmacist | 2100 Comer Ave, 1800 Building, Ambulatory Care Pharmacy, Columbus, GA 31904 | 2012-06-28 |
| 1730442005 | Laura Susan Cain | Pharmacist | 2030 40th St, Columbus, GA 31904-7308 | 2012-06-20 |
| 1427327964 | Thu H Nguyen IIi | Pharmacist | 2271 Norbury Dr Se, Smyrna, GA 30080-5205 | 2011-12-28 |
| 1629365887 | Claude Emerson Hartsock | Pharmacist | 540 Brnach Drive, Pendergrass, GA 30567-3445 | 2011-07-07 |
| 1467749077 | Meredith Cundey Peckel | Pharmacist | 1647 Gordon Hwy, Augusta, GA 30906-2297 | 2011-07-03 |
| Find all providers with the same taxonomy | ||||
| City | ROBINS AFB |
| Zip Code | 31098 |
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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.