Shane Matthew Parks

Pharmacist · Medina, OH

Individual Active NPI

NPI number 1407574429

Practice location

1015 N Court St
Medina, OH 44256-1582
Phone
(330) 725-2706

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NPI record

NPI
1407574429
Entity type
Individual (Type 1)
Enumeration date
August 16, 2022
Last updated
August 16, 2022
Certified
August 16, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 03334873 OH

Mailing address

7009 Hawthorn Trce
Independence, OH 44131-5353
Phone
(330) 718-3521

About Shane Parks

Shane Matthew Parks is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1015 N Court St, Medina, OH 44256-1582. The NPI number 1407574429 was assigned on August 16, 2022 and the record was last updated on August 16, 2022.

Shane Parks lists a license in the registry: #03334873 (OH) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Matthew Parks?

The NPI number is 1407574429.

What is the phone number of Shane Parks?

The phone number listed for the practice location is (330) 725-2706.

Where is Shane Parks located?

1015 N Court St, Medina, OH 44256-1582.

What is the taxonomy code for Shane Parks?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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