Active NPI
Shannon Marie Tryon, PHARMD
- Pharmacist
- Annapolis, MD
National Provider Identifier
1518367382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21742
- Practice address
- 2666 Riva Rd
Annapolis, MD 21401-7345 - Phone
- (410) 573-1635
- NPI assigned
- Aug 29, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21742 | MD | Primary |
Addresses
Primary practice location
2666 Riva Rd
Annapolis, MD 21401-7345
Mailing address
108 Monroe Manor Rd
Stevensville, MD 21666-2238
Phone (410) 310-7489
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 |
|---|---|---|---|
| 21742 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1518367382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MONROE MANOR RD",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662238",
"telephone_number": "410-310-7489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2666 RIVA RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017345",
"telephone_number": "410-573-1635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRYON",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "21742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.