Shaun Gordon Abernathie, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0014717 Issued in OR

Practice address

1539 NE Stephens St
Roseburg, OR 97470-1563

Phone

(541) 957-2546

Fax

(541) 957-2548

NPI assigned

Aug 16, 2007

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safeway Inc

  • Community/Retail Pharmacy
  • Roseburg, OR
  • NPI 1780613729
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)
• Walgreen Co

  • Pharmacy
  • St Petersburg, FL
  • NPI 1588679765
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2025.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1013109701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701563",
            "telephone_number": "541-957-2546",
            "fax_number": "541-957-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701563",
            "telephone_number": "541-957-2546",
            "fax_number": "541-957-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNATHIE",
        "first_name": "SHAUN",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37634",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 4 Badges Counseling LLC
• A.K. Gombart M.D.P.C
• Leslie C Abbott, FNP
• Mohamed Abdel Khalek, M.D
• Brooke Abek I
• Hennie Tambot Abrio, MD
• Access Dental Hygiene Services, LLC
• Ruben Acevedo III, D.C.
• Achieve Physical Therapy LLC
• Claudia Acosta

• All providers in Roseburg, OR
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.