RANDY J. SHANECK PHARM D – NPI #1659887495
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Health Care Provider Taxonomy Code for Pharmacist

RANDY SHANECK is a pharmacist located in OREGON, OH. NPPES has assigned the NPI number 1659887495 to RANDY SHANECK on December 15, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 6 years ago on Jan 18, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDY SHANECK below.

NPI Profile for
RANDY J. SHANECK

NPI Number
1659887495
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDY J. SHANECK
Credentials
PHARM D
Primary location
3300 NAVARRE AVE
OREGON, OH 43616
Phone: (419) 691-7034 Fax:
Mailing address
KROGER PHARMACY 3300 NAVARRE AVE
OREGON, OH 43616
Phone: (419) 691-7034 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 18, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)		 OH 03129415
183500000X
- Pharmacist		 OH 03129415

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.