Shannon Maura Corkrean, PHARMD

Individual provider Active NPI Pharmacist · Ocala, FL

NPI 1154635233 · NPPES record last updated Aug 2, 2010

Key facts

NPI
1154635233
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS46565 (FL)
Practice address
619 SE 17TH St
Ocala, FL 34471-4428
Phone
(352) 732-3666
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS46565FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Umatilla Pharmacy Inc Current Accepting new patients
Magnolia Pharmacy LLC Current Accepting new patients
Magpharm Consulting Current Accepting new patients
Bittings Apothecary Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS46565 FL Yes

Addresses

Primary practice location

619 SE 17TH St
Ocala, FL 34471-4428

Mailing address

9530 Mid Summer LN
Leesburg, FL 34788-3698
Phone (352) 409-1061

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2010.

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1154635233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 MID SUMMER LN",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883698",
            "telephone_number": "352-409-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714428",
            "telephone_number": "352-732-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKREAN",
        "first_name": "SHANNON",
        "middle_name": "MAURA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

All providers in Ocala, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.