Active NPI
Shannon Harney
- Pharmacist
- Mount Vernon, NY
National Provider Identifier
1164027769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066907
- Practice address
- 24 W Grand St
Mount Vernon, NY 10552-2106 - Phone
- (914) 664-6019
- NPI assigned
- Dec 1, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 066907 | NY | Primary |
Addresses
Primary practice location
24 W Grand St
Mount Vernon, NY 10552-2106
Mailing address
30 Reeve PL
Brooklyn, NY 11218-1341
Phone (718) 208-3500
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 |
|---|---|---|---|
| 066907 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1164027769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 REEVE PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181341",
"telephone_number": "718-208-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 W GRAND ST",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105522106",
"telephone_number": "914-664-6019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNEY",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.