Individual provider · Type 1 NPI

Shantell Ingram-Green

Pharmacist · Waxhaw, NC

NPI number 1992130652 Active

Practice location

10012 Weiss Way
Waxhaw, NC 28173-0800

Call (704) 321-2694 Map

Mailing address

2339 Coffeeberry Grove Ln Apt E
Monroe, NC 28110-6545

Other practice locations

  • 726 Broadway, New York, NY 10003-9502 · (212) 443-1050

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X044276 (NY)
Pharmacist Primary 183500000X33309 (NC)

Pharmacist: 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…

22 other providers at this address

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About NPI 1992130652

Shantell Ingram-Green's National Provider Identifier is 1992130652, issued on Sep 12, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Waxhaw, NC. The record was last updated on Dec 16, 2024.