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SHAKAMAK PHARMACY
NPI 1477815868
Pharmacy - Community/Retail Pharmacy in Jasonville, IN

Active since June 12, 2012CLIA 15D2183720 · Waiver
346 E MAIN ST, JASONVILLE, IN 47438(812) 665-9760(812) 665-9762 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2020, Jul 15, 2016 (2 updates tracked since 2016).

About Shakamak Pharmacy NPPES

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

SHAKAMAK PHARMACY (NPI 1477815868) is a healthcare organization registered as a community/retail pharmacy in Jasonville, Indiana and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Traver Wolf, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1477815868
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHAKAMAK HEALTH INC
Location Address346 E MAIN STJasonville, IN 47438-1510
Mailing Address346 E Main StJasonville, IN 47438-1510 · (812) 665-9760 · Fax (812) 665-9762
Phone(812) 665-9760
Fax(812) 665-9762
Organization SubpartNo
Authorized OfficialTraver WolfPresident Of Corporation · (812) 665-9760
Enumeration DateJune 12, 2012
Last NPPES UpdateJanuary 27, 20202 updates tracked since enumeration
✔ NPI 1477815868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IN · 60006304A
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
346 E MAIN ST, Jasonville, IN 47438
Open in Google Maps ↗

Other Names 1

Doing Business AsShakamak Pharmacy

Other Identifiers 2

Medicaid201070090IN
Other2134527Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2183720

Shakamak Pharmacy · Jasonville, IN
Active · expires May 7, 2028
CLIA Number15D2183720
Laboratory TypePharmacy
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorTraver Wolf
Laboratory Phone(812) 665-9760
Laboratory LocationShakamak Pharmacy346 E Main St, Jasonville, IN 47438
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
82 services80 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
58 services58 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
17 services17 patients

Other Providers at the Same Location NPPES 3

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

SHAKAMAK HEALTH INC
Pharmacy (Long Term Care Pharmacy)
346 E MAIN ST
JASONVILLE, IN 47438
Greene County (812) 665-9760
MR. TRAVER WOLF PHARMACIST
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
346 E MAIN ST
JASONVILLE, IN 47438
Greene County (812) 665-9760
DON BORDERS PHARMACIST
Pharmacist
346 E MAIN ST
JASONVILLE, IN 47438
Greene County (812) 665-9760

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 Shakamak Health Inc's NPI number?

The NPI number for Shakamak Health Inc is 1477815868. It was assigned to this organization in the NPPES registry on June 12, 2012. The provider is doing business as Shakamak Pharmacy.

Where is Shakamak Health Inc located?

Shakamak Health Inc is located at 346 E Main St, Jasonville, IN 47438. The listed phone number is (812) 665-9760.

What is Shakamak Health Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Shakamak Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2183720) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shakamak Health Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Shakamak Health Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shakamak Health Inc was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.