Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174932636 Individual Practitioner Female Practitioner

Dr. Shonda Shanelle Waller , PharmD

Pharmacist • Palatka, FL

Professional Overview & Biography Verified Profile Summary

Dr. Shonda Waller, PharmD is a registered healthcare professional specializing in Pharmacist in Palatka, FL. Practice services are available at 1302 RIVER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1302 River St

Palatka, FL 321775042

Telephone 3863280558
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Palatka, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
43 Specialists

Practicing in Palatka, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS52379

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1023187101

Registered Pharmacist, CPH

NPI 1023734969

Doctor of Pharmacy (Pharm.D.)

NPI 1053703637

Doctor of Pharmacy (Pharm.D.)

NPI 1073073557

Doctor of Pharmacy (Pharm.D.)

NPI 1083835011
NPI 1154637734

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address December 05, 2022

Registered at PO BOX 8600, FLEMING ISLAND, FL 320060014 (Tel: 3029837404)

NPI Profile Active August 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2014

Registered at 1302 RIVER ST, PALATKA, FL 321775042 (Tel: 3863280558)

📍
Updated Business Mailing Address August 10, 2014

Registered at PO BOX 658, MIDDLEBURG, FL 320500658 (Tel: 3029837404)

👤
Provider Name / Credentials Updated August 10, 2014

Recorded as SHONDA WALLER, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2014

Pharmacist (License #PS52379 in FL)

🟢
Initial NPI Registration & Enumeration August 10, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174932636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2014
Last Update: December 05, 2022
Sole Proprietor: No

Mailing Address

Po Box 8600

Fleming Island, FL 320060014

Phone: 3029837404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.