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

Mr. Shane Eden Thompson

Individual provider Pharmacist · NPI 1841558111

Mr. Shane Eden Thompson is a Pharmacist in Fort Bragg, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

490 S Main St
Fort Bragg, CA 95437-4806
Phone: (707) 964-1214
Fax: (707) 964-9513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 29158 (CA)

Record details

NPI number1841558111
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESApril 24, 2012

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