Active NPI
Shannon Beth Nelson-Bryant, PHARMACIST
- Pharmacist
- Farmington, MO
National Provider Identifier
1083205652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044986
- Practice address
- 125 W Karsch Blvd
Farmington, MO 63640-2156 - Phone
- (573) 756-5425
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 044986 | MO | Primary |
Addresses
Primary practice location
125 W Karsch Blvd
Farmington, MO 63640-2156
Mailing address
31835 State Highway 25
Advance, MO 63730-8364
Phone (573) 270-7671
Other practice location 1
1301 Shelby Rd
Poplar Bluff, MO 63901-9051
Phone (573) 778-9156
Other practice location 2
301 T J Stewart Dr
Park Hills, MO 63601-2500
Phone (573) 431-8537
Other practice location 3
210 E Murta St
Fredericktown, MO 63645-1018
Phone (576) 783-2788
Other practice location 4
50 Berry Rd
Bonne Terre, MO 63628-1373
Phone (573) 358-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044986 | Other | MO | MISSOURI BOARD OF PHARMCY |
Other names 1
- Shannon Beth Bryant
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rx204@harpsfood.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044986 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harps Food Stores, Inc | Current | Accepting new patients | |
| Harps Food Stores, Inc | Past | Accepting new patients | |
| Harps Food Stores, Inc | Past | Accepting new patients | |
| Town & Country Grocers of Fredericktown Mo Inc | Past | Accepting new patients |
Locations
125 W Karsch Blvd
Farmington, MO 63640
Phone (573) 756-5425
Organizations & group practices 4
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
- Farmington, MO
- NPI 1184243818
-
- Community/Retail Pharmacy
- Poplar Bluff, MO
- NPI 1780084491
-
- Community/Retail Pharmacy
- Farmington, MO
- NPI 1619043379
-
- Community/Retail Pharmacy
- Prague, OK
- NPI 1649961889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1083205652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31835 STATE HIGHWAY 25",
"city": "ADVANCE",
"state": "MO",
"postal_code": "637308364",
"telephone_number": "573-270-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W KARSCH BLVD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402156",
"telephone_number": "573-756-5425"
}
],
"practiceLocations": [
{
"address_1": "1301 Shelby Rd",
"address_purpose": "LOCATION",
"city": "Poplar Bluff",
"state": "MO",
"postal_code": "639019051",
"country_code": "US",
"telephone_number": "573-778-9156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 T J Stewart Dr",
"address_purpose": "LOCATION",
"city": "Park Hills",
"state": "MO",
"postal_code": "636012500",
"country_code": "US",
"telephone_number": "573-431-8537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 E Murta St",
"address_purpose": "LOCATION",
"city": "Fredericktown",
"state": "MO",
"postal_code": "636451018",
"country_code": "US",
"telephone_number": "576-783-2788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Berry Rd",
"address_purpose": "LOCATION",
"city": "Bonne Terre",
"state": "MO",
"postal_code": "636281373",
"country_code": "US",
"telephone_number": "573-358-0099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON-BRYANT",
"first_name": "SHANNON",
"middle_name": "BETH",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF PHARMCY",
"identifier": "044986",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rx204@harpsfood.com",
"affiliation": "N",
"endpointDescription": "Pharmacy Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "50 Berry Rd",
"city": "Bonne Terre",
"state": "MO",
"country_code": "US",
"postal_code": "636281373",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "BRYANT",
"middle_name": "BETH",
"credential": "PHARMACIST",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.