Active NPI
Eileen T Shannon, PHARM D
- Pharmacist
- Madison, WI
National Provider Identifier
1104201367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17883-40
- Practice address
- 600 Highland Avenue
University of Wisconsin Hospital and Clinics
Madison, WI 53792 - Phone
- (608) 263-1290
- Fax
- (608) 263-9424
- NPI assigned
- Jul 29, 2015
- 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 | 17883-40 | WI | Primary |
Addresses
Primary practice location
600 Highland Avenue
University of Wisconsin Hospital and Clinics
Madison, WI 53792
Mailing address
600 Highland Avenue
University of Wisconsin Hospital and Clinics
Madison, WI 53792
Phone (608) 263-1290
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 |
|---|---|---|---|
| 17883-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1104201367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVENUE",
"address_2": "UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS",
"city": "MADISON",
"state": "WI",
"postal_code": "53792",
"telephone_number": "608-263-1290",
"fax_number": "608-263-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVENUE",
"address_2": "UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS",
"city": "MADISON",
"state": "WI",
"postal_code": "53792",
"telephone_number": "608-263-1290",
"fax_number": "608-263-9424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "EILEEN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "17883-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.