Shannon Michele Roach, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD08878 Issued in AR

Practice address

1903 W Dewitt Henry Dr
Beebe, AR 72012-2028

Phone

(501) 882-6471

NPI assigned

Feb 27, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

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.

• Health Way of Beebe Inc

  • Community/Retail Pharmacy
  • Beebe, AR
  • NPI 1164588380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1043804248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 W DEWITT HENRY DR",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720122028",
            "telephone_number": "501-882-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 W DEWITT HENRY DR",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720122028",
            "telephone_number": "501-882-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "SHANNON",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD08878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Jane Pruitt, PHARM.D.
• Laeryn Nicole Ragsdale
• Kendra Rainey, RN
• Kristal Reed
• Thomas Dale Ritchie Jr., LPC
• Jenny Kay Roberson, CCC-SLP
• Deanna Rogers, NP
• Ann K Rushing
• Yvette D. Schwenk, M.S., LPE-I
• Keri A. Sears, PHARM D

• Pharmacist in Beebe, AR
• Providers in Beebe, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.