MRS. SHAQUETTA A PANTRY LPN
NPI 1083458145
Licensed Vocational Nurse in South Ozone Park, NY

Active since June 24, 2024
12511 149TH AVE, SOUTH OZONE PARK, NY 11420(631) 379-6041 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shaquetta A Pantry Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHAQUETTA A PANTRY LPN (NPI 1083458145) is an individual licensed vocational nurse in South Ozone Park, New York, licensed in New York (339939) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1083458145
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMRS. SHAQUETTA A PANTRYCredential: LPN
Location Address12511 149TH AVESouth Ozone Park, NY 11420-3717
Mailing Address12511 149th AveSouth Ozone Park, NY 11420-3717 · (631) 379-6041
Sole ProprietorNo
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
NPI 1083458145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in NY · 339939
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
12511 149TH AVE, South Ozone Park, NY 11420

Other Names 1

Former Name (1)Ms. Shaquetta A Taylor Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaquetta Pantry's NPI number?

The NPI number for Shaquetta Pantry is 1083458145. It was assigned to this individual provider in the NPPES registry on June 24, 2024. The provider is also known as Ms. Shaquetta A Taylor Lpn.

Where is Shaquetta Pantry located?

Shaquetta Pantry practices at 12511 149th Ave, South Ozone Park, NY 11420. The listed phone number is (631) 379-6041.

What is Shaquetta Pantry's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Shaquetta Pantry was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.