Shane R Wendel, PHARM.D., B.S.
Individual provider Active NPI Pharmacist · Carrington, ND
NPI 1982616488 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982616488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4552 (ND)
- Practice address
- 611 4TH Ave S
Carrington, ND 58421-2303 - Phone
- (701) 652-2044
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- 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
- Credentials
- Bachelor of Science, Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central RX Group LLC | Current | Accepting new patients |
Locations
990 Main St
Carrington, ND 58421
Phone (701) 652-2651
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4552 | ND | Yes |
Addresses
Primary practice location
611 4TH Ave S
Carrington, ND 58421-2303
Mailing address
611 4TH Ave S
Carrington, ND 58421-2303
Phone (701) 652-2044
Other providers in Carrington, ND
- Brady Edward Smith
- Kyle Smith
- Brian Allen Stanley
- Amanda Topp
- Upnorth Therapies
- Hilary Woods
- Chelsey Lin Zeltinger
All providers in Carrington, ND · Pharmacist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.