Samantha Shannon

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR68614 Issued in ME

Practice address

7 Hannaford Dr
Westbrook, ME 04092-4084

Phone

(207) 854-1294

NPI assigned

Nov 18, 2020

Last updated

Jul 22, 2021By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hannaford Bros Co LLC

  dba Hannaford Food and Drug

  • Community/Retail Pharmacy
  • Westbrook, ME
  • NPI 1386752772
  NPD (past)
• Hannaford Bros Co LLC

  dba Hannaford Food and Drug

  • Community/Retail Pharmacy
  • South Portland, ME
  • NPI 1922116276
  NPD (past)
• Hannaford Bros. Co., LLC

  dba Hannaford Supermarket & Pharmacy

  • Community/Retail Pharmacy
  • Scarborough, ME
  • NPI 1861175622
  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1285237735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COTTAGE RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HANNAFORD DR",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924084",
            "telephone_number": "207-854-1294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Cottage Rd",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041063606",
            "country_code": "US",
            "telephone_number": "207-799-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR68614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Sedano, PHARMD
• Lilli Seeley
• Serenity Home Health LLC
• Seven Star Acupuncture and Osteopathy LLC
• William P Seymour, NP
• Roddy A Sherer, NP-C
• Lillian J. Shields, LMSW-CC
• Shoreline Counseling, LLC
• Matthew Shorey
• Tamela Ann Simmons, CADC

• Pharmacist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.