Stephanie Lynn Shidemantle, PHARM.D.
NPI 1750666954ActiveIndividual· Pharmacist· Fort Walton Beach, FL
Pharmacist (PHARM.D.) in Fort Walton Beach, Florida, licensed in GA and FL, with an NPI issued in October 2011. Part D covered 34 prescriptions written in 2024, 0% of them generic.
Overview
| NPI | 1750666954 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D. |
| Sole proprietor | No |
| NPI issued | Oct 19, 2011 |
| Last updated in NPPES | Dec 21, 2022 |
| Certified by provider | Dec 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 023927 | GA |
| Pharmacist | 183500000X | PS50073 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 34 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $7,590 |
| Generic share | 0% of claims |
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All 56 pharmacists in Fort Walton Beach · All pharmacists in Florida