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

Samuel Kenneth Shaner

Individual provider Pharmacy Technician · NPI 1366192882

Samuel Kenneth Shaner is a Pharmacy Technician in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022
Specialties on file
2

Practice location Address checks out

825 E University Blvd Ste 101
Tucson, AZ 85719-5046
Phone: (520) 624-4519
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence I026653 (AZ)
Pharmacy Technician Taxonomy 183700000X · Licence T073006 (AZ)

Record details

NPI number1366192882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2022
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address825 E University Blvd Ste 101, Tucson, AZ 85719-5046

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