Active NPI
Shannon Michelle Savettiere, PHARMD
- Pharmacist
- Broken Arrow, OK
National Provider Identifier
1316467772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17085
- Practice address
- 4901 W Kenosha St
Broken Arrow, OK 74012-8511 - Phone
- (918) 249-0214
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17085 | OK | Primary |
Addresses
Primary practice location
4901 W Kenosha St
Broken Arrow, OK 74012-8511
Mailing address
4901 W Kenosha St
Broken Arrow, OK 74012-8511
Phone (918) 249-0214
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17085 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316467772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 W KENOSHA ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128511",
"telephone_number": "918-249-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 W KENOSHA ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128511",
"telephone_number": "918-249-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVETTIERE",
"first_name": "SHANNON",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.