Lawrence Kenneth Shanley, PHARM. D

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

051515-1 Issued in NY

Practice address

2940 Main St
Peru, NY 12972-2926

Phone

(518) 643-2318

Fax

(518) 643-0010

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Peru Pharmacy Inc.

  • Community/Retail Pharmacy
  • Peru, NY
  • NPI 1528166857
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356552129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129720086",
            "telephone_number": "518-643-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MAIN ST",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129722926",
            "telephone_number": "518-643-2318",
            "fax_number": "518-643-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANLEY",
        "first_name": "LAWRENCE",
        "middle_name": "KENNETH",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051515-1",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "051515-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peru Pharmacy Inc.
• Alison Rosenbaum, LMHC
• Michelle Marie Rushby, NURSE PRACTITIONER
• Brittany Patinka Saunders, RN
• Shady Grove Farm and Wellness Center
• Lawrence Ketrick Shanley, RPH
• David W Smith, M.D.
• Sara Spear, LMHC
• Vicki Sue Tedford, SNT
• Cassidy Rae Thompson

• All providers in Peru, NY
• Pharmacotherapy Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.