DR. MISTY RAE SHANDERA PHARM.D. - NPI 1629387907

Q: What is Misty Shandera's NPI number?

The NPI number for Misty Shandera is 1629387907. It was assigned to this individual provider in the NPPES registry on October 4, 2010.

Q: What is Misty Shandera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Shandera was last updated on November 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Misty Rae Shandera Pharm.d. NPPES

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

DR. MISTY RAE SHANDERA PHARM.D. (NPI 1629387907) is an individual pharmacist in Greeley, Colorado, licensed in Colorado (18802) and active in the NPI registry since October 2010. She maintains a secondary practice location in Cheyenne.

NPPES Registry Identity

NPI1629387907

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameDR. MISTY RAE SHANDERACredential: PHARM.D.

Location Address3700 W 10TH STGreeley, CO 80634-1819

Mailing Address3700 W 10th StGreeley, CO 80634-1819 · (970) 475-0192 · Fax (970) 475-0315

Phone(970) 475-0192

Fax(970) 475-0315

Sole ProprietorNo

Enumeration DateOctober 4, 2010

Last NPPES UpdateNovember 20, 2019

✔ NPI 1629387907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in CO · 18802✔ Licensed in WY · 3365

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.

3700 W 10TH ST, Greeley, CO 80634

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Secondary Practice Location 1

Location 12304 E LincolnwayCheyenne, WY 82001-5416 · Phone (307) 635-0241

Other Providers at the Same Location NPPES 11

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

BENITA BOCK

Pharmacist