Active NPI
Shannon Brooke Van Horn, PHARMD
- Pharmacist
- Crossville, TN
National Provider Identifier
1114537701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43596
- Practice address
- 126 Stonehenge Dr
Crossville, TN 38558-6272 - Phone
- (931) 484-0333
- Fax
- (931) 707-5142
- NPI assigned
- Aug 7, 2020
- 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 | 43596 | TN | Primary |
Addresses
Primary practice location
126 Stonehenge Dr
Crossville, TN 38558-6272
Mailing address
157 California Ave
Oak Ridge, TN 37830-4001
Phone (865) 360-6915
Other names 1
- Shannon Brooke Prosser
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 |
|---|---|---|---|
| 43596 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1114537701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CALIFORNIA AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378304001",
"telephone_number": "865-360-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 STONEHENGE DR",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385586272",
"telephone_number": "931-484-0333",
"fax_number": "931-707-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HORN",
"first_name": "SHANNON",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "43596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "PROSSER",
"middle_name": "BROOKE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.