Active NPI
Shannon J. Thornton, RPH
- Pharmacist
- Lecanto, FL
National Provider Identifier
1104912633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11556
- Practice address
- 3700 W. Sovereign Path
Lecanto, FL 34461 - Phone
- (352) 527-0068
- Fax
- (352) 527-3013
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 | 11556 | FL | Primary |
Addresses
Primary practice location
3700 W. Sovereign Path
Lecanto, FL 34461
Mailing address
4854 County Rd 117a
Wildwood, FL 34785
Phone (352) 748-1809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11556 | Other | FL | LICENSE NUMBER |
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 |
|---|---|---|---|
| 11556 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1104912633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4854 COUNTY RD 117A",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "34785",
"telephone_number": "352-748-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 W. SOVEREIGN PATH",
"city": "LECANTO",
"state": "FL",
"postal_code": "34461",
"telephone_number": "352-527-0068",
"fax_number": "352-527-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "SHANNON",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "11556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "11556",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lecanto, FL
- The Achievement Center of Citrus County, P.a.
- The Orthopaedic Institute, PA (Citrus Orthopaedic and Joint Institute)
- The Orthopaedic Institute, PA (Citrus Orthopaedic and Joint Institute)
- Thomas Salinas, DDS, PA (Timberlane Family Dentistry)
- David William Thomas
- Timberlane Chiropractic
- Timberlane Family Dentistry
- Maria Lezcano Tommolino, APRN
- Mary Melissa Touchton, ARNP
- Tricia Vu Tran, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.