Active NPI
Shannon Leeanne Norstrom, PHARM. D
- Pharmacist
- Salem, OR
National Provider Identifier
1013339480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH - 0012701
- Practice address
- 435 Liberty St NE
Salem, OR 97301-3521 - Phone
- (503) 362-3654
- Fax
- (503) 362-7870
- NPI assigned
- Jan 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH - 0012701 | OR | Primary |
Addresses
Primary practice location
435 Liberty St NE
Salem, OR 97301-3521
Mailing address
435 Liberty St NE
Salem, OR 97301-3521
Phone (503) 362-3654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH - 0012701 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Salem, OR
- NPI 1760591044
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1013339480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 LIBERTY ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013521",
"telephone_number": "503-362-3654",
"fax_number": "503-362-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 LIBERTY ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013521",
"telephone_number": "503-362-3654",
"fax_number": "503-362-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORSTROM",
"first_name": "SHANNON",
"middle_name": "LEEANNE",
"name_prefix": "Mrs.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-20",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH - 0012701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.