IndividualActive
Shonda Waller, PHARM.D.
NPI 1174932636 · Pharmacist · Palatka, FL
Shonda Waller, PHARM.D. is a Pharmacist provider in Palatka, FL (NPI 1174932636).
Provider details
- NPI number
- 1174932636
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PS52379 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1302 River St
Palatka, FL 32177-5042
Phone: (386) 328-0558
Street-level locationGet directions
Mailing address
Po Box 8600
Fleming Island, FL 32006-0014
Registry dates
- Enumerated
- 2014-08-10
- Last updated
- 2022-12-05
- Certified
- 2022-12-05
Frequently asked questions
- What is Shonda Waller's NPI number?
- Shonda Waller's National Provider Identifier (NPI) is 1174932636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shonda Waller's specialty?
- Shonda Waller is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Shonda Waller located?
- Shonda Waller's practice location on file with NPPES is 1302 River St, Palatka, FL 32177-5042.
- What is Shonda Waller's phone number?
- The practice phone number listed in the NPPES registry for Shonda Waller is (386) 328-0558.
- Is Shonda Waller's NPI active?
- Yes — Shonda Waller's NPI (1174932636) is active in the NPPES registry as of the last update on 2022-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.