Michael Shannon Jones, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH 00010993 Issued in WA

Practice address

15407 Main St
Ste 104
Mill Creek, WA 98012-7375

Phone

(425) 385-2400

Fax

(425) 385-3969

NPI assigned

Jun 18, 2014

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

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.

• Northwest Pharmaceutical Compounding, Inc

  • Pharmacist
  • Mill Creek, WA
  • NPI 1578879144
  NPD (past) Authorized official

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1457765364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15407 MAIN ST",
            "address_2": "STE 104",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127375",
            "telephone_number": "425-385-2400",
            "fax_number": "425-385-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15407 MAIN ST",
            "address_2": "STE 104",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127375",
            "telephone_number": "425-385-2400",
            "fax_number": "425-385-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "SHANNON",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 00010993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Keanna Jensen
• Susan Johannsen, PSYD
• John M. Zimburean, M.D., PLLC
• John W Stieber DDS PS
• Melissa A. Johnson, DPT
• Jong Il Lee DC,PS
• Nikita Abhay Joshi
• Kal Corp
• Thomas Edward Kane, DDS
• Paul A. Kanter, O.D.

• Pharmacist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.