Provider Demographics
NPI:1235924812
Name:SOLOMBRINO, SHAWN L (CPHT)
Entity type:Individual
Prefix:MS
First Name:SHAWN
Middle Name:L
Last Name:SOLOMBRINO
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2738 N 32ND ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66104-4154
Mailing Address - Country:US
Mailing Address - Phone:816-337-9113
Mailing Address - Fax:
Practice Address - Street 1:2738 N 32ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66104-4154
Practice Address - Country:US
Practice Address - Phone:816-337-9113
Practice Address - Fax:816-337-9113
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-122977183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician