Individual provider Active NPI

Shawnett Stenberg, RPH

  • Pharmacist
  • Monroe, WA
National Provider Identifier
1083970933
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00014820 Issued in WA
Practice address
17788 147TH St SE
Monroe, WA 98272-1030
Phone
(360) 794-7351
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00014820 WA Primary

Addresses

Primary practice location

17788 147TH St SE
Monroe, WA 98272-1030

Mailing address

20113 65TH Ave SE
Snohomish, WA 98296-5381
Phone (360) 668-9882

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH00014820WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Camp Riley Drug Co. Inc CurrentSince Apr 17, 2022 Accepting new patients

Locations

17788 147th St SE
Monroe, WA 98272
Phone (360) 794-4641

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1083970933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20113 65TH AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965381",
            "telephone_number": "360-668-9882",
            "fax_number": "360-668-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17788 147TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721030",
            "telephone_number": "360-794-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENBERG",
        "first_name": "SHAWNETT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00014820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.