Shannon Fink
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Cleves, OH
NPI 1962033787 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1962033787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 03122480 (OH)
- Practice address
- 4001 Hamilton Cleves Rd
Cleves, OH 45002-9394 - Phone
- (513) 353-0860
- Fax
- (513) 353-0835
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022240A | IN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 013255 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 03122480 | OH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Current |
Accepting new patients |
Locations
4001 Hamilton Cleves Rd
Cleves, OH 45002
Phone (513) 353-0860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 013255 | KY | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26022240A | IN | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03122480 | OH | Yes |
Addresses
Primary practice location
4001 Hamilton Cleves Rd
Cleves, OH 45002-9394
Mailing address
4001 Hamilton Cleves Rd
Cleves, OH 45002-9394
Other providers in Cleves, OH
- Lisa Ann Duwell
- Jessica Fager
- Family Counseling Services
- Olivia Farwick
- Laura Ferrarelli
- Kirk J Fischesser
- Andrea Nicole Gahan
- Terri Gegner
- Wendy Pearl Gerondale
- Golden Heart in-Home Care LLC
All providers in Cleves, OH · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. 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.