Individual provider Active NPI

Shannon B. Steele, RPH

  • Pharmacist
  • Hayes, VA
National Provider Identifier
1124368337
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202007153 Issued in VA
Practice address
2460 George Washington Memorial Hwy
Hayes, VA 23072-3566
Phone
(804) 642-2115
Fax
(804) 684-9524
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
0202007153VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eckerd Corporation Past Accepting new patients
Eckerd Corporation Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202007153 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

2460 George Washington Memorial Hwy
Hayes, VA 23072-3566

Mailing address

2460 George Washington Memorial Hwy
Hayes, VA 23072-3566
Phone (804) 642-2115

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2013.

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1124368337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230723566",
            "telephone_number": "804-642-2115",
            "fax_number": "804-684-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 GEORGE WASHINGTON MEMORIAL HWY",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230723566",
            "telephone_number": "804-642-2115",
            "fax_number": "804-684-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "SHANNON",
        "middle_name": "B.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202007153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayes, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.