Individual provider Active NPI

Shannon Wedekind, PHARM.D.

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1922377647
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS34618 Issued in FL
Practice address
7003 Presidents Dr
Suite 250
Orlando, FL 32809-5517
Phone
(407) 859-6197
NPI assigned
Dec 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS34618 FL Primary
Pharmacist 183500000X 294015 IL

Addresses

Primary practice location

7003 Presidents Dr
Suite 250
Orlando, FL 32809-5517

Mailing address

7003 Presidents Dr
Suite 250
Orlando, FL 32809-5517
Phone (407) 859-6197

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS34618FLMDPharmacist
294015ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1922377647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 PRESIDENTS DR",
            "address_2": "SUITE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095517",
            "telephone_number": "407-859-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 PRESIDENTS DR",
            "address_2": "SUITE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095517",
            "telephone_number": "407-859-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDEKIND",
        "first_name": "SHANNON",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34618",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "294015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.