Shanna Rae Secreto, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0006690 Issued in WV

Practice address

208 Giant St
Morgantown, WV 26501-2440

Phone

(304) 599-2369

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Shanna Rae Maxwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• John Manchin III

  • Community/Retail Pharmacy
  • Farmington, WV
  • NPI 1326122060
  NPD
• John Manchin III

  • Clinic Pharmacy
  • Fairmont, WV
  • NPI 1689849804
  NPD
• Giant Eagle Inc

  • Community/Retail Pharmacy
  • Morgantown, WV
  • NPI 1740297761
  NPD (past)
• Giant Eagle, Inc

  • Community/Retail Pharmacy
  • Punxsutawney, PA
  • NPI 1356207526
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1174192785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GIANT ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012440",
            "telephone_number": "304-599-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GIANT ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012440",
            "telephone_number": "304-599-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECRETO",
        "first_name": "SHANNA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "MAXWELL",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Joel Seachrist, M.D.
• Katherine Seachrist, MD
• Kelsea Brooke Seago, PHARMD
• Kaitlyn Jean Seavy, PNP-BC
• Louma Sebaihi, NP
• Secure Cove Psychotherapy and Professional Development LLC
• Troy Lynn Sedlmeyer, M.D.
• Cara Sedney, M.D.
• Helenia D Sedoski, RLD
• Hobart J Seese, O.D.

• Pharmacist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.