Shana K Acosta, PHARM.D
Individual provider Active NPI Pharmacist · Grass Valley, CA
NPI 1376017996 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1376017996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 79658 (CA)
- Practice address
- 1005 Sutton Way
Grass Valley, CA 95945-5182 - Phone
- (530) 272-8881
- NPI assigned
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 79658 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79658 | CA | Yes |
Addresses
Primary practice location
1005 Sutton Way
Grass Valley, CA 95945-5182
Mailing address
1005 Sutton Way
Grass Valley, CA 95945-5182
Other providers in Grass Valley, CA
- Walter Lawrence Abbey
- Julie Ablang
- Hazel Mae Artap Abraham
- Acc Gorney-Tutak Chiropractic Inc
- Isaias L. Acosta
- Nila Marie Adame
- Amber Dawn Adams
- R Eugene Adams
- Arnold Adicoff
- Aegis Treatment Centers, LLC
All providers in Grass Valley, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. 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.