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

Individual provider Pharmacist · NPI 1992130652

Shantell Ingram-Green is a Pharmacist in Waxhaw, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina and New York.

Licensed in
NC, NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

10012 Weiss Way
Waxhaw, NC 28173-0800
Phone: (704) 321-2694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 726 Broadway, New York, NY 10003-9502 — (212) 443-1050

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 33309 (NC)
Pharmacist Taxonomy 183500000X · Licence 044276 (NY)

Record details

NPI number1992130652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2013
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address2339 Coffeeberry Grove Ln Apt E, Monroe, NC 28110-6545

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