Active NPI
Shannon Pharmacy
- Community/Retail Pharmacy
- Rome, GA
National Provider Identifier
1386748333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE008861
- Legal business name
- SHANNON PHARMACY
- Doing business as
- SHANNON PHARMACY
- Practice address
- 5855 New Calhoun Hwy NE
Rome, GA 30161-8253 - Phone
- (706) 295-4772
- Fax
- (706) 295-2866
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Coker, RPH
- Title
- Owner
- Phone
- (706) 295-4772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE008861 | GA | Primary |
Addresses
Primary practice location
5855 New Calhoun Hwy NE
Rome, GA 30161-8253
Mailing address
5855 New Calhoun Hwy NE
Rome, GA 30161-8253
Phone (706) 295-4772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 779754709A | Medicaid | GA | |
| 2015642 | Other | PK |
Other names 1
- SHANNON PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230428002088 | GA | Part B Supplier - Pharmacy | 5496110330 | Practice locations: Rome, GA |
National Provider Directory
National Provider DirectoryLocations
5855 New Calhoun Hwy NE
Rome, GA 30161
Phone (706) 295-4772
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rome, GA
- NPI 1487049383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1386748333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 NEW CALHOUN HWY NE",
"city": "ROME",
"state": "GA",
"postal_code": "301618253",
"telephone_number": "706-295-4772",
"fax_number": "706-295-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 NEW CALHOUN HWY NE",
"city": "ROME",
"state": "GA",
"postal_code": "301618253",
"telephone_number": "706-295-4772",
"fax_number": "706-295-2866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNON PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "COKER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-295-4772",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE008861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "779754709A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2015642",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHANNON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.