Nathaniel Clayton Shannon, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

014925 Issued in KY

Practice address

1060 Chinoe Rd Ste 190
Lexington, KY 40502-6589

Phone

(859) 335-2380

Fax

(859) 335-6410

NPI assigned

Jun 22, 2020

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

Electronic endpoints 1

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.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Lexington, KY
  • NPI 1649295346
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1487270757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CHINOE RD STE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026589",
            "telephone_number": "859-335-2380",
            "fax_number": "859-335-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CHINOE RD STE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026589",
            "telephone_number": "859-335-2380",
            "fax_number": "859-335-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "NATHANIEL",
        "middle_name": "CLAYTON",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "014925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathaniel.shannon@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1060 Chinoe Rd Ste 190",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405026589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Jordan Shannon, PHD
• Chad Shannon
• Jerrica Keisha Shannon, LPCC
• Jessica B Shannon
• Kimberly Shannon, RN
• Ronica Shannon
• Meghan C. Shapiro, MA, LPP
• Lina Sharab, DDS, MS
• Nastaran Sharifian, M.D.
• Bhoodev P Sharma, M.B.B.S.

• Pharmacist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.