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DR. STEPHANIE LYNN SHIDEMANTLE PHARM.D.
NPI 1750666954
Pharmacist in Fort Walton Beach, FL

Active since October 19, 2011
414C MARY ESTHER CTO NW, FORT WALTON BEACH, FL 32548(850) 244-0869(850) 244-1403 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Stephanie Lynn Shidemantle Pharm.d. NPPES

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

DR. STEPHANIE LYNN SHIDEMANTLE PHARM.D. (NPI 1750666954) is an individual pharmacist in Fort Walton Beach, Florida, licensed in Georgia (023927) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1750666954
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. STEPHANIE LYNN SHIDEMANTLECredential: PHARM.D.
Location Address414C MARY ESTHER CTO NWFort Walton Beach, FL 32548-4060
Mailing Address414c Mary Esther Cto NwFort Walton Beach, FL 32548-4060 · (850) 244-0869 · Fax (850) 244-1403
Phone(850) 244-0869
Fax(850) 244-1403
Sole ProprietorNo
Enumeration DateOctober 19, 2011
Last NPPES UpdateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1750666954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in GA · 023927✔ Licensed in FL · PS50073
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.
414C MARY ESTHER CTO NW, Fort Walton Beach, FL 32548
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Other Names 1

Former Name (1)Dr. Stephanie Lynn Driggers Pharm.d.

Other Providers at the Same Location NPPES 2

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

DR. CHRISTINA VIRGINIA WILLIAMS PHARMD
Pharmacist
414C MARY ESTHER CTO NW
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 244-0869
WALGREEN CO
Pharmacy
414C MARY ESTHER CTO NW
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 244-0869

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 Stephanie Shidemantle's NPI number?

The NPI number for Stephanie Shidemantle is 1750666954. It was assigned to this individual provider in the NPPES registry on October 19, 2011. The provider is also known as Dr. Stephanie Lynn Driggers Pharm.D..

Where is Stephanie Shidemantle located?

Stephanie Shidemantle practices at 414C Mary Esther Cto NW, Fort Walton Beach, FL 32548. The listed phone number is (850) 244-0869.

What is Stephanie Shidemantle'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 Stephanie Shidemantle was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.