Shannon Gilzene

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303043858 Issued in MI

Practice address

1029 S M 37
Traverse City, MI 49685-8508

Phone

(231) 943-3147

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Traverse City, MI
  • NPI 1356394209
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1063137347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 E 18 1/2 RD",
            "city": "MANTON",
            "state": "MI",
            "postal_code": "496637501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 S M 37",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858508",
            "telephone_number": "231-943-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILZENE",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303043858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.10186@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1029 S M 37",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496858508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Gillette
• Natalie Maria Gilley
• Amanda Gillis
• Christopher A Gilmartin, O.D.
• Pamela S. Gilmartin, OD
• Gillian Suzanne Gines
• Kelly Gingras, NURSE PRACTITIONER
• Ramsi Anne Ginzel
• Douglas Adam Glick, LMSW
• Cynthia L Glines, M.D.

• Pharmacy Technician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.