Shannon Michelle Mertens, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60871796 Issued in WA

Practice address

19150 NE Woodinville Duvall Rd
Woodinville, WA 98077-9477

Phone

(425) 788-6658

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1225511348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 131ST PL NE APT F97",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 NE WOODINVILLE DUVALL RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980779477",
            "telephone_number": "425-788-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTENS",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60871796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda L. Meredith, P.T.
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• Michael J. Wagner
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• Cecile Culp Mielenz, PH.D.
• Erin Christine Milhem, PSY.D.

• Pharmacist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.