Shakamak Health Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SHAKAMAK HEALTH INC

Doing business as

Shakamak Pharmacy

Practice address

346 E Main St
Jasonville, IN 47438-1510

Phone

(812) 665-9760

NPI assigned

Feb 3, 2020

Last updated

Feb 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traver WolfNPI 1235732934

Title

Pharmacist/President

Phone

(812) 665-9760

Specialties & licenses 1

Addresses

Other names 1

• SHAKAMAK PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traver Wolf, PHARMACIST

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Jasonville, IN
  • NPI 1235732934
  NPD Authorized official

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1164053617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 E MAIN ST",
            "city": "JASONVILLE",
            "state": "IN",
            "postal_code": "474381510",
            "telephone_number": "812-665-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 E MAIN ST",
            "city": "JASONVILLE",
            "state": "IN",
            "postal_code": "474381510",
            "telephone_number": "812-665-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKAMAK HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "TRAVER",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "812-665-9760"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAKAMAK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Edward Messmer, ATC, LAT
• MSD of Shakamak
• Ruth A Quinlan, QMRP
• Lisa Leann Racine, OTR
• Shakamak Family Dentistry, LLC
• Shakamak Health Inc (Shakamak Pharmacy)
• Shakamak Medical Center, Inc.
• Shakamak Rehab Inc
• Southwestern Emerg. Med. Serv. Inc.
• Morgan Rene May Sparks, MT-BC

• Long Term Care Pharmacy in Jasonville, IN
• Providers in Jasonville, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.