MR. SHANE EDEN THOMPSON
NPI 1841558111
Pharmacist in Fort Bragg, CA

Active since April 24, 2012
490 S MAIN ST, FORT BRAGG, CA 95437(707) 964-1214(707) 964-9513 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shane Eden Thompson NPPES

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

MR. SHANE EDEN THOMPSON (NPI 1841558111) is an individual pharmacist in Fort Bragg, California, licensed in California (29158) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1841558111
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. SHANE EDEN THOMPSON
Location Address490 S MAIN STFort Bragg, CA 95437-4806
Mailing Address800 Myrtle StFort Bragg, CA 95437-5525
Fax(707) 964-9513
Sole ProprietorNo
Enumeration DateApril 24, 2012
NPI 1841558111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 29158
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.
490 S MAIN ST, Fort Bragg, CA 95437

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
490 S MAIN ST, RITE AID PHARMACY
FORT BRAGG, CA 95437
Pharmacist
490 S MAIN ST
FORT BRAGG, CA 95437
Pharmacist
490 S MAIN ST
FORT BRAGG, CA 95437
Pharmacist
490 S MAIN ST
FORT BRAGG, CA 95437
Pharmacist
490 S MAIN ST
FORT BRAGG, CA 95437
Pharmacist
490 S MAIN ST
FORT BRAGG, CA 95437
Pharmacist
490 S MAIN ST
FORT BRAGG, CA 95437
Pharmacist
490 S MAIN ST
FORT BRAGG, CA 95437

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 Thompson's NPI number?

The NPI number for Shane Thompson is 1841558111. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Shane Thompson located?

Shane Thompson practices at 490 S Main St, Fort Bragg, CA 95437. The listed phone number is (707) 964-1214.

What is Shane Thompson'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 Thompson was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.