SHANE KORTAN RPH.
NPI 1609176551
Pharmacist in Lake Havasu City, AZ

Active since October 26, 2010
1650 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403(928) 855-9200(928) 855-9664 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane Kortan Rph. NPPES

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

SHANE KORTAN RPH. (NPI 1609176551) is an individual pharmacist in Lake Havasu City, Arizona, licensed in Arizona (S012216) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1609176551
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSHANE KORTANCredential: RPH.
Location Address1650 MCCULLOCH BLVD NLake Havasu City, AZ 86403-0961
Mailing Address1650 Mcculloch Blvd NLake Havasu City, AZ 86403-0961 · (928) 855-9200 · Fax (928) 855-9664
Fax(928) 855-9664
Sole ProprietorYes
Enumeration DateOctober 26, 2010
NPI 1609176551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S012216
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.

1650 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403

Other Providers at the Same Location NPPES 8

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

Pharmacist
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403
Pharmacist
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403
Pharmacist
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403
Pharmacy (Community/Retail Pharmacy)
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403
Pharmacist
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403
Pharmacist
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403
Pharmacist
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403
Pharmacy (Community/Retail Pharmacy)
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403

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 Shane Kortan's NPI number?

The NPI number for Shane Kortan is 1609176551. It was assigned to this individual provider in the NPPES registry on October 26, 2010.

Where is Shane Kortan located?

Shane Kortan practices at 1650 Mcculloch Blvd N, Lake Havasu City, AZ 86403. The listed phone number is (928) 855-9200.

What is Shane Kortan'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 Shane Kortan was last updated on October 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.