Active NPI
Shana Lynn Skradski, PHARMD, PHD
- Pharmacist
- Bozeman, MT
National Provider Identifier
1003190182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5633
- Practice address
- 925 Highland Park Blvd
Suite 2000
Bozeman, MT 59715 - Phone
- (406) 585-1030
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5633 | MT | Primary |
| Pharmacist | 183500000X | 0010828 | OR |
Addresses
Primary practice location
925 Highland Park Blvd
Suite 2000
Bozeman, MT 59715
Mailing address
925 Highland Park Blvd
Suite 2000
Bozeman, MT 59715
Phone (406) 585-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5633 | MT | MD | Pharmacist |
| 0010828 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1003190182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 HIGHLAND PARK BLVD",
"address_2": "SUITE 2000",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-585-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 HIGHLAND PARK BLVD",
"address_2": "SUITE 2000",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59715",
"telephone_number": "406-585-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKRADSKI",
"first_name": "SHANA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "5633",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0010828",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.