Active NPI
Shannon W Pepper, RPH
- Pharmacist
- Aiken, SC
National Provider Identifier
1104110139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8423
- Practice address
- 2545 Whiskey Rd
Target Pharmacy 1310
Aiken, SC 29803-8521 - Phone
- (803) 644-2711
- Fax
- (803) 644-2711
- NPI assigned
- Jun 7, 2011
- Last updated
- Jun 7, 2011
- 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 | 8423 | SC | Primary |
Addresses
Primary practice location
2545 Whiskey Rd
Target Pharmacy 1310
Aiken, SC 29803-8521
Mailing address
10 Windchime CT
Aiken, SC 29803-7101
Phone (803) 641-4276
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8423 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1104110139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WINDCHIME CT",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037101",
"telephone_number": "803-641-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 WHISKEY RD",
"address_2": "TARGET PHARMACY 1310",
"city": "AIKEN",
"state": "SC",
"postal_code": "298038521",
"telephone_number": "803-644-2711",
"fax_number": "803-644-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "SHANNON",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.