Shannon Elaine McIntosh, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2007022166 Issued in MO

Practice address

577 Mid Rivers Mall Dr
Saint Peters, MO 63376

Phone

(636) 970-2858

Fax

(636) 970-0023

NPI assigned

Jun 22, 2008

Last updated

Jul 12, 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

Other names 1

• Shannon Elaine Smith 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

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1275794240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 MID RIVERS MALL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762113",
            "telephone_number": "636-970-2858",
            "fax_number": "636-970-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 MID RIVERS MALL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-970-2858",
            "fax_number": "636-970-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2073 Washington Xing",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630905285",
            "country_code": "US",
            "telephone_number": "636-239-4120",
            "fax_number": "636-239-4125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "SHANNON",
        "middle_name": "ELAINE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007022166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SMITH",
            "middle_name": "ELAINE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leighia M McGhee, PMHNP-BC, DNP
• Krysten McGough
• Christina M McGrath, LCSW
• Joel Kevin McGraw, D.D.S.
• John F McHale III, CCC-SLP
• Robert Douglas McKay
• Shawn McKenzie, DC
• Randy McLaren, LPC
• William Michael McLaughlin, MD
• Elizabeth McNeely

• Pharmacist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.