Individual provider Active NPI

Shannon M Haywood, PHARMD

  • Pharmacist
  • Piggott, AR
National Provider Identifier
1205423241
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD09682 Issued in AR
Practice address
648 E Main St
Piggott, AR 72454-2907
Phone
(870) 598-3183
Fax
(870) 598-3183
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD09682 AR Primary

Addresses

Primary practice location

648 E Main St
Piggott, AR 72454-2907

Mailing address

648 E Main St
Piggott, AR 72454-2907
Phone (870) 598-3183

Other practice location 1

403 S Main St
Rector, AR 72461-1706
Phone (870) 595-3523

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

LicenseStateTypeSpecialty
PD09682ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marmaduke Pharmacy, LLC Current Accepting new patients
Piggott Pharmacy LLC CurrentSince Dec 27, 2020 Accepting new patients
Piggott Pharmacy LLC CurrentSince Nov 12, 2023 Accepting new patients
Rector Downtown Drug, Inc. Pharmacist Past Accepting new patients

Locations

648 E Main St
Piggott, AR 72454
Phone (870) 598-3183

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1205423241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 E MAIN ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542907",
            "telephone_number": "870-598-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 E MAIN ST",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542907",
            "telephone_number": "870-598-3183",
            "fax_number": "870-598-3183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 S Main St",
            "address_purpose": "LOCATION",
            "city": "Rector",
            "state": "AR",
            "postal_code": "724611706",
            "country_code": "US",
            "telephone_number": "870-595-3523",
            "fax_number": "870-595-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD09682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piggott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.