Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie Lynn Shidemantle, PHARMD

Individual provider Pharmacist · NPI 1750666954

Dr. Stephanie Lynn Shidemantle, PHARMD is a Pharmacist in Fort Walton Beach, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2011.

Licensed in
FL, GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

414C Mary Esther Cto NW
Fort Walton Beach, FL 32548-4060
Phone: (850) 244-0869
Fax: (850) 244-1403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 023927 (GA)
Pharmacist Taxonomy 183500000X · Licence PS50073 (FL)

Record details

NPI number1750666954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 19, 2011
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

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