Active NPI
Shannon Hall
- Pharmacy Technician
- Point Pleasant, WV
National Provider Identifier
1104361344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- TT0011066
- Practice address
- 2501 Jackson Ave
Point Pleasant, WV 25550-2035 - Phone
- (304) 675-2303
- NPI assigned
- Dec 26, 2016
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TT0011066 | WV | Primary |
Addresses
Primary practice location
2501 Jackson Ave
Point Pleasant, WV 25550-2035
Mailing address
38804 Kingsbury Rd
Pomeroy, OH 45769-9689
Phone (740) 508-1272
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 |
|---|---|---|---|
| TT0011066 | WV | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482710400000",
"number": "1104361344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38804 KINGSBURY RD",
"city": "POMEROY",
"state": "OH",
"postal_code": "457699689",
"telephone_number": "740-508-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 JACKSON AVE",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255502035",
"telephone_number": "304-675-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-26",
"last_updated": "2016-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WV",
"license": "TT0011066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.