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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS46565 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.