DR. SHONDA SHANELLE WALLER PHARM.D.
NPI 1174932636
Pharmacist in Palatka, FL

Active since August 10, 2014
1302 RIVER ST, PALATKA, FL 32177(386) 328-0558 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shonda Shanelle Waller Pharm.d. NPPES

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

DR. SHONDA SHANELLE WALLER PHARM.D. (NPI 1174932636) is an individual pharmacist in Palatka, Florida, licensed in Florida (PS52379) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1174932636
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. SHONDA SHANELLE WALLERCredential: PHARM.D.
Location Address1302 RIVER STPalatka, FL 32177-5042
Mailing AddressPo Box 8600Fleming Island, FL 32006-0014 · (302) 983-7404
Sole ProprietorNo
Enumeration DateAugust 10, 2014
Last NPPES UpdateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
NPI 1174932636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS52379
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

1302 RIVER ST, Palatka, FL 32177

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1302 RIVER ST
PALATKA, FL 32177
Pharmacist
1302 RIVER ST
PALATKA, FL 32177
Family Medicine
1302 RIVER ST
PALATKA, FL 32177
Psychiatry & Neurology (Psychiatry)
1302 RIVER ST
PALATKA, FL 32177
Pharmacist
1302 RIVER ST
PALATKA, FL 32177
Pharmacist
1302 RIVER ST
PALATKA, FL 32177
Family Medicine
1302 RIVER ST
PALATKA, FL 32177
Nurse Practitioner
1302 RIVER ST
PALATKA, FL 32177

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 Shonda Waller's NPI number?

The NPI number for Shonda Waller is 1174932636. It was assigned to this individual provider in the NPPES registry on August 10, 2014.

Where is Shonda Waller located?

Shonda Waller practices at 1302 River St, Palatka, FL 32177. The listed phone number is (386) 328-0558.

What is Shonda Waller's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Shonda Waller was last updated on December 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.