Active NPI
Shauna Louise Brown, PHARM D.
- Pharmacist
- Joplin, MO
National Provider Identifier
1336423136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2009025145
- Practice address
- 1605 W 7TH St
Joplin, MO 64801-3071 - Phone
- (417) 659-8453
- Fax
- (417) 624-2586
- NPI assigned
- Sep 28, 2011
- Last updated
- Sep 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2009025145 | MO | Primary |
| Pharmacist | 183500000X | 14521 | OK |
Addresses
Primary practice location
1605 W 7TH St
Joplin, MO 64801-3071
Mailing address
517 E 50TH St
Joplin, MO 64804-4914
Phone (918) 231-4762
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 |
|---|---|---|---|
| 2009025145 | MO | MD | Pharmacist |
| 14521 | 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, 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": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1336423136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 E 50TH ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044914",
"telephone_number": "918-231-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 W 7TH ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648013071",
"telephone_number": "417-659-8453",
"fax_number": "417-624-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHAUNA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2009025145",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.