Individual provider Active NPI

Shannon Elizabeth Rogers, PHARM.D., BCGP, BCPS

  • Pharmacotherapy Pharmacist
  • Dayton, OH
National Provider Identifier
1558379925
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
3100857 Issued in IN
Practice address
4100 West Third Street
Pharmacy Department
Dayton, OH 45428-9000
Phone
(765) 506-7100
Fax
(937) 267-3315
NPI assigned
Aug 3, 2006
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26020197A IN
Pharmacotherapy Pharmacist 1835P1200X 3100857 IN Primary
Geriatric Pharmacist 1835G0303X 1263 IN

Addresses

Primary practice location

4100 West Third Street
Pharmacy Department
Dayton, OH 45428-9000

Mailing address

4100 West Third Street
Pharmacy Department
Dayton, OH 45428-9000
Phone (765) 506-7100

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

LicenseStateTypeSpecialty
26020197AINMDPharmacist
1263INMDGeriatric Pharmacist
3100857INMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1558379925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WEST THIRD STREET",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "765-506-7100",
            "fax_number": "937-267-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WEST THIRD STREET",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "765-506-7100",
            "fax_number": "937-267-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCGP, BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020197A",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IN",
            "license": "3100857",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "IN",
            "license": "1263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.